Completecare Med Llc

NPI 1104250604 - Clinic/Center - 261QM1300X

NPI Details
NPI 1104250604
Enumeration Date 09/03/2013
Last Updated 09/03/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name LYNN LYNN
Position VICE PRESIDENT
Phone (843) 294-9355
Fax
Practice Location
4736 HIGHWAY 17 BYP S
MYRTLE BEACH SC, 29588-5616, US
Phone (843) 294-9355
Fax
Business Location
4736B HIGHWAY 17 BYP S
MYRTLE BEACH SC, 29588-5616, US
Phone (843) 294-9355
Fax
Toxanomy
Taxonomy Code 261QM1300X
License State
License Number
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According to our database, Completecare Med Llc NPI is 1104250604, taxonomy code is 261QM1300X Completecare Med Llc physically located at 4736 Highway 17 Byp S, Myrtle Beach SC, 29588-5616. NPI Number 1033115704 has the healthcare provider type.

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1104250604 NPI number is provided on an as is basis without warranty of any kind. 1104250604 is maintained by the National Plan & Provider Enumeration System. The contents of Completecare Med Llc are for informational purposes only.