Individual
COLLEEN MARY SLUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3381 PHILLIS BLVD, MYRTLE BEACH, SC 29577-1560
(843) 477-0177
Mailing address
3381 PHILLIS BLVD, MYRTLE BEACH, SC 29577-1560
(843) 477-0177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H0061487
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405309500
—
MD
Enumeration date
04/11/2006
Last updated
02/16/2016
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