Organization
GAMAL S BOUTROS MD
Active
Other names
BriarCliffe Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAMAL S BOUTROS M.D. (OWNER)
(843) 427-4828
Entity
Organization
Contact information
Practice address
605 BRIARWOOD DR, SUITE E, MYRTLE BEACH, SC 29572-6734
(843) 427-4828
(843) 427-4689
Mailing address
605 BRIARWOOD DR, SUITE E, MYRTLE BEACH, SC 29572-6734
(843) 427-4828
(843) 427-4689
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33487
SC
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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