Organization
MYRTLE BEACH PHYSICAL MEDICINE & REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LUCKIE (PRESIDENT)
(843) 444-9355
Entity
Organization
Contact information
Practice address
4736 17 BYPASS SOUTH, MYRTLE BEACH, SC 29588
(843) 444-9355
(843) 294-0019
Mailing address
4736 17 BYPASS SOUTH, MYRTLE BEACH, SC 29588
(843) 444-9355
(843) 294-0019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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