Organization
C GREGORY KANG MD PA
Active
Other names
Pain, Spine and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
C GREGORY KANG M.D. (OWNER)
(843) 215-8868
Entity
Organization
Contact information
Practice address
3029 NEWCASTLE LOOP, MYRTLE BEACH, SC 29588
(843) 215-8868
(843) 215-9555
Mailing address
PO BOX 811, MURRELLS INLET, SC 29576-0811
(843) 215-8868
(843) 215-9555
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
19925
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3898
—
SC
Enumeration date
07/02/2007
Last updated
01/03/2012
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