Individual
MR. GABRIEL A LOPEZ-ALCIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
917 MEDICAL CIR, MYRTLE BEACH, SC 29572-4116
(843) 449-0453
(843) 449-9531
Mailing address
1248 SAFE HAVEN DR, MYRTLE BEACH, SC 29579-7485
(843) 491-2221
(843) 491-2221
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
SC
Other
Enumeration date
10/14/2025
Last updated
10/27/2025
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