Individual
ELMA DENISE WHIDBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2021 N MYRTLE POINT BLVD, SUITE 101, NORTH MYRTLE BEACH, SC 29582-2224
(843) 663-2100
(843) 663-2102
Mailing address
2021 N MYRTLE POINT BLVD, SUITE 101, NORTH MYRTLE BEACH, SC 29582-2224
(843) 663-2100
(843) 663-2102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16884
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3688
—
SC
Enumeration date
04/26/2006
Last updated
02/23/2010
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