Individual
EWA B MARCINKOWSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1752 HIGHWAY 501, MYRTLE BEACH, SC 29577-9750
(843) 448-3050
(843) 448-5934
Mailing address
1752 HIGHWAY 501, MYRTLE BEACH, SC 29577-9750
(843) 448-3050
(843) 448-5934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24043
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7733
MEDICARE PROVIDER NUMBER
SC
05
—
LL3787
—
SC
Enumeration date
11/02/2007
Last updated
11/07/2007
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