Organization
SOUTHEAST MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY L HANEY (INS CLERK)
(843) 215-5102
Entity
Organization
Contact information
Practice address
1301 48TH AVE N STE B, MYRTLE BEACH, SC 29577-5427
(843) 215-5102
(843) 215-5226
Mailing address
1301 48TH AVE N STE B, MYRTLE BEACH, SC 29577-5427
(843) 215-5102
(843) 215-5226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/15/2007
Last updated
08/22/2020
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