CAPESIDE ADDICTION CARE PLLC NPI 1093280620

NPI Information

CAPESIDE ADDICTION CARE, PLLC is an addiction medicine psychiatry neurology in Myrtle Beach, SC. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine CAPESIDE ADDICTION CARE, PLLC NPI is 1093280620. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4889 HIGHWAY 17 BYP S
MYRTLE BEACH, SC
ZIP 29577-683
Phone: (843) 584-7011
Fax: (843) 945-1355

The provider's authorized official is William Beasley .
The authorized official title is Chief Operating Officer and has the following contact phone number (910) 791-6767.

The enumeration date for this NPI number is 10/10/2018 and was last updated on 10/10/2018.

Taxonomy Codes

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Other Identifiers

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