Organization
MARY TOBIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY TOBIN (OWNER)
(843) 424-0615
Entity
Organization
Contact information
Practice address
10838 KINGS RD, MYRTLE BEACH, SC 29572-6070
(843) 215-2400
(843) 212-4967
Mailing address
10838 KINGS RD, MYRTLE BEACH, SC 29572-6070
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/29/2020
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