Carolina Forest Imaging Center Llc

NPI 1063603587 - Clinic/Center - 261QM1200X

NPI Details
NPI 1063603587
Enumeration Date 08/08/2007
Last Updated 11/30/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LAVELLE R LAVELLE
Position CREDENTIALING COORDINATOR
Phone (843) 236-7878
Fax (843) 236-6406
Practice Location
199 VILLAGE CENTER BLVD
SUITE 110
MYRTLE BEACH SC, 29579, US
Phone (843) 236-7878
Fax (843) 236-6406
Business Location
199 VILLAGE CENTER BLVD
SUITE 110
MYRTLE BEACH SC, 29579, US
Phone (843) 236-7878
Fax (843) 236-6406
Toxanomy
Taxonomy Code 261QM1200X
License State
License Number
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According to our database, Carolina Forest Imaging Center Llc NPI is 1063603587, taxonomy code is 261QM1200X Carolina Forest Imaging Center Llc physically located at 199 Village Center Blvd, Myrtle Beach SC, 29579. NPI Number 1033115704 has the healthcare provider type.

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1063603587 NPI number is provided on an as is basis without warranty of any kind. 1063603587 is maintained by the National Plan & Provider Enumeration System. The contents of Carolina Forest Imaging Center Llc are for informational purposes only.