Individual
DR. ASHRAF R HERAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, BDS,
Contact information
Practice address
920 DOUG WHITE DR STE 430, MYRTLE BEACH, SC 29572-4182
(843) 903-6459
(843) 839-0218
Mailing address
920 DOUG WHITE DR STE 430, MYRTLE BEACH, SC 29572-4182
(843) 903-6459
(843) 839-0218
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
86996
SC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
ME138798
FL
Other
Enumeration date
06/26/2008
Last updated
07/07/2022
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