Organization
NORTH MYRTLE BEACH FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GARNETT RAMSLATTORN JR. MD (PRESIDENT)
(843) 249-2451
Entity
Organization
Contact information
Practice address
86 CEDAR AVE, NORTH MYRTLE BEACH, SC 29582-3112
(843) 249-2451
(843) 249-4100
Mailing address
86 CEDAR AVE, NORTH MYRTLE BEACH, SC 29582-3112
(843) 249-2451
(843) 249-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9264
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092642
—
SC
01
—
29670
MEDCAST
SC
Enumeration date
01/31/2007
Last updated
03/05/2008
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