Individual
DR. SHEREE D NWANEGWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4591 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-7209
(843) 497-5929
(877) 301-6205
Mailing address
PO BOX 3439, NORTH MYRTLE BEACH, SC 29582-0439
(843) 497-5929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16148
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TL3173
—
SC
Enumeration date
04/21/2006
Last updated
11/16/2020
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