Individual
DEREK ANTHONY PRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
945 82ND PKWY, MYRTLE BEACH, SC 29572-4612
(843) 497-5929
(866) 778-9608
Mailing address
PO BOX 3439, NORTH MYRTLE BEACH, SC 29582-0439
(843) 839-4447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
83289
SC
Other
Enumeration date
03/23/2020
Last updated
07/28/2023
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