Organization
501 FAMILY MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EWA B. MARCINKOWSKA M.D. (PHYSICIAN OWNER)
(843) 448-3050
Entity
Organization
Contact information
Practice address
1752 HIGHWAY 501, MYRTLE BEACH, SC 29577-9750
(843) 448-3050
(843) 448-5934
Mailing address
1752 HIGHWAY 501, MYRTLE BEACH, SC 29577-9750
(843) 448-3050
(843) 448-5934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24043
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LL3787
—
SC
Enumeration date
01/18/2006
Last updated
06/05/2015
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