Organization
360 HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIN LI DONG (OWNER)
(843) 692-9243
Entity
Organization
Contact information
Practice address
4810 N KINGS HWY, MYRTLE BEACH, SC 29577-2558
(843) 692-9243
Mailing address
4810 N KINGS HWY, MYRTLE BEACH, SC 29577-2558
(843) 692-9243
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
27
SC
261QM2500X
Medical Specialty Clinic/Center
Primary
MD18446
SC
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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