Individual
NICHOLAS J PENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3816 HIGHWAY 17 S, NORTH MYRTLE BEACH, SC 29582-5069
(843) 272-1411
Mailing address
3816 HIGHWAY 17 S, NORTH MYRTLE BEACH, SC 29582-5069
(843) 272-1411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1469
SC
207Q00000X
Family Medicine Physician
174478
NY
Other
Enumeration date
06/02/2006
Last updated
01/26/2012
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