Individual
ANTONIO P PEPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
920 DOUG WHITE DR STE 210, MYRTLE BEACH, SC 29572-4181
(843) 497-6348
(843) 497-6351
Mailing address
920 DOUG WHITE DR STE 210, MYRTLE BEACH, SC 29572-4181
(843) 497-6348
(843) 497-6351
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME98204
FL
208600000X
Surgery Physician
Primary
34221
SC
208600000X
Surgery Physician
ME98204
FL
2086S0102X
Surgical Critical Care Physician
34221
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034221200
—
SC
05
—
277958700
—
FL
Enumeration date
04/25/2007
Last updated
02/09/2022
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