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COMPLETECARE MED LLC NPI 1104250604


NPI Information

NPI: 1104250604
Provider Name: COMPLETECARE MED LLC

Doing Business As: COMPLETECARE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4736 HIGHWAY 17 BYP S
MYRTLE BEACH, SC
ZIP 29588
Phone: (843) 294-9355
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COMPLETECARE MED LLC is a multi-specialty clinic center in Myrtle Beach, SC. COMPLETECARE MED LLC NPI is 1104250604. The provider is registered as an organization entity type.
The provider Is Doing Business As Completecare.

The provider's business location address is:

4736 HIGHWAY 17 BYP S
MYRTLE BEACH, SC
ZIP 29588-616
Phone: (843) 294-9355

The provider's authorized official is Lynn O'brien .
The authorized official title is Vice President and has the following contact phone number (843) 294-9355.

The enumeration date for this NPI number is 9/3/2013 and was last updated on 9/3/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.