Organization
SOUTHERN SHORES UROGYNECOLOGY AND PELVIC RECONSTRUCTIVE SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET E HARRIS-HICKS MD (OWNER)
(843) 895-2120
Entity
Organization
Contact information
Practice address
1021 CIPRIANA DR STE 250, MYRTLE BEACH, SC 29572-4621
(843) 895-2120
Mailing address
1021 CIPRIANA DR STE 250, MYRTLE BEACH, SC 29572-4621
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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