Individual
MR. EUGENE M. GIDDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 DOUG WHITE DR STE 460, MYRTLE BEACH, SC 29572-4182
(843) 449-2336
(843) 497-0625
Mailing address
920 DOUG WHITE DR STE 460, MYRTLE BEACH, SC 29572-4182
(843) 449-2336
(843) 497-0625
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
15143
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015143600
—
SC
05
—
01838955
—
PA
01
—
0604782
PHP
SC
01
—
1000742
EVOLUTIONS
SC
01
—
1061024
WORK COMP
WV
01
—
5402760
AETNA
SC
05
—
690570Y
—
NC
Enumeration date
03/20/2006
Last updated
03/14/2023
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