Individual
DEVIN BAZICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
GRAND STRAND PEDIATRICS, 5015 CAROLINA FOREST BLVD, MYRTLE BEACH, SC 29579
(843) 945-1740
(843) 286-1349
Mailing address
GRAND STAND PEDIATRICS, 8120 ROURK STREET, MYRTLE BEACH, SC 29572-4607
(843) 449-1438
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
SC
Other
Enumeration date
03/29/2018
Last updated
01/31/2024
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