Individual
TIMOTHY ROBERT UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
901 N KINGS HWY, MYRTLE BEACH, SC 29577-3722
(843) 448-4820
(843) 448-9875
Mailing address
901 N KINGS HWY, MYRTLE BEACH, SC 29577-3722
(843) 448-4820
(843) 448-9875
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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