ANGELIC PRIMARY MEDICINE OF SC, LLC

MYRTLE BEACH, SC
NPI1730752015
Entity TypeOrganization
Authorized ContactJANET GIBSON
Owner
609-464-1135
Organization Subpart ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2021-07-23
Last Update Date2025-06-26
Business Address
ANGELIC PRIMARY MEDICINE OF SC, LLC
4728 JENN DR STE 102
MYRTLE BEACH, SC 29577-5714
Phone number: 609-464-1135
Mailing Address
ANGELIC PRIMARY MEDICINE OF SC, LLC
8025 BLACK HORSE PIKE STE 501
PLEASANTVILLE, NJ 08232-2967
Phone number: 609-822-7979