Organization
PHYSICIAN PRACTICE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA L JONES RN (OWNER)
(843) 902-5134
Entity
Organization
Contact information
Practice address
1021 CIPRIANA DR, SUITE 230, MYRTLE BEACH, SC 29572-4621
(843) 497-7771
(843) 497-7771
Mailing address
PO BOX 70667, MYRTLE BEACH, SC 29572-0030
(843) 902-5134
(843) 497-7775
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
58272
SC
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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