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Individual

DR. JOHN GARNETT RAMSBOTTOM JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
86 CEDAR AVE, NORTH MYRTLE BEACH, SC 29582-3112
(843) 249-2451
(843) 249-4100
Mailing address
86 CEDAR AVE, NORTH MYRTLE BEACH, SC 29582-3112
(843) 249-2451
(843) 249-4100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9264
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
092642
SC
01
P00076369
RR MEDICARE
SC
Enumeration date
03/26/2007
Last updated
07/08/2007
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