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MAGNOLIA OB-GYN LLC OF MYRTLE BEACH NPI 1366546608


NPI Information

NPI: 1366546608
Provider Name: MAGNOLIA OB-GYN LLC OF MYRTLE BEACH
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
8203 NIGELS DR
SUITE 100
MYRTLE BEACH, SC
ZIP 29572
Phone: (843) 449-5848
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MAGNOLIA OB-GYN LLC OF MYRTLE BEACH is an obstetrics gynecology in Myrtle Beach, SC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MAGNOLIA OB-GYN LLC OF MYRTLE BEACH NPI is 1366546608. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8203 NIGELS DR
SUITE 100
MYRTLE BEACH, SC
ZIP 29572-177
Phone: (843) 449-5848
Fax: (843) 692-0841

The provider's authorized official is Cheryl Ann Gach .
The authorized official title is Office Manager and has the following contact phone number (845) 449-5848.

The enumeration date for this NPI number is 9/8/2006 and was last updated on 11/3/2011.


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
1207V00000XObstetrics & GynecologyYes

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: 4/28/2024

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