Individual
BRIAN LOSKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 497-5929
(843) 497-9940
Mailing address
4615 OLEANDER DR, MYRTLE BEACH, SC 29577-5741
(843) 497-5929
(843) 497-9940
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
A972
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0308PA
—
SC
Enumeration date
07/18/2005
Last updated
02/24/2010
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