Organization
WACCAMAW DERMATOLOGY AND PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E QUIRKE MD (PRESIDENT)
(843) 449-0453
Entity
Organization
Contact information
Practice address
917 MEDICAL CIRCLE, MYRTLE BEACH, SC 29572-4116
(843) 449-0453
(843) 497-4822
Mailing address
917 MEDICAL CIRCLE, MYRTLE BEACH, SC 29572-4116
(843) 449-0453
(843) 497-4822
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1554
—
SC
Enumeration date
09/10/2008
Last updated
09/25/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up