Individual
DR. MOHAMED BASSIOUNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3655 MITCHELL ST, LORIS, SC 29569-2827
(843) 716-4300
Mailing address
94 CEDAR AVE, NORTH MYRTLE BEACH, SC 29582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TL35103
SC
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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