FOREST FAMILY PRACTICE LLC NPI 1568585966

NPI Information

FOREST FAMILY PRACTICE, LLC is a family nurse practitioner in Myrtle Beach, SC. FOREST FAMILY PRACTICE, LLC NPI is 1568585966. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3874 RENEE DRIVE
SUITE B
MYRTLE BEACH, SC
ZIP 29579
Phone: (843) 903-4401

The provider's authorized official is Deborah Tully .
The authorized official title is Business Manager and has the following contact phone number (843) 903-4401.

The CLIA number assigned to this NPI record is 42D1067277 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/9/2007 and was last updated on 8/22/2020.

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:

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.