Individual
DR. ADAM WHITNEL BOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
906 MEDICAL CIR, MYRTLE BEACH, SC 29572-4114
(843) 497-5929
(866) 778-9612
Mailing address
PO BOX 3439, NORTH MYRTLE BEACH, SC 29582-0439
(843) 839-4447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40417
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
40417
SC
207RP1001X
Pulmonary Disease Physician
Primary
40417
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40417
SC LICENSE
SC
05
—
404173
—
SC
Enumeration date
05/15/2007
Last updated
08/06/2025
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