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Individual

DR. GERALD E. LAROCHELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
945 82ND PKWY, MYRTLE BEACH, SC 29572-4612
(843) 497-5929
(843) 839-6376
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
38797
SC
207RR0500X
Rheumatology Physician
Primary
38797
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
387977
SC
Enumeration date
05/27/2005
Last updated
01/20/2025
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