Individual
DR. RICHARD W WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 VILLAGE CENTER BLVD, SUITE 200, MYRTLE BEACH, SC 29579-6683
(843) 236-3222
(843) 236-3005
Mailing address
210 VILLAGE CENTER BLVD, SUITE 200, MYRTLE BEACH, SC 29579-6683
(843) 236-3222
(843) 236-3005
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
10380
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
10380
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103809
—
SC
01
—
200011086
RAILROAD MEDICARE
SC
05
—
8906784
—
NC
Enumeration date
04/22/2006
Last updated
08/25/2014
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