Organization
PHYSICIANS AT HOME PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALITZA RIVERA (OFFICE MANAGER)
(843) 516-2024
Entity
Organization
Contact information
Practice address
9021 BELLA VERDE CT, MYRTLE BEACH, SC 29579-5110
(843) 516-2024
Mailing address
PO BOX 70157, MYRTLE BEACH, SC 29572-0021
(843) 516-2024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
SC
Other
Enumeration date
04/09/2014
Last updated
08/23/2021
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