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 Date2021-10-13
Business Address
ANGELIC PRIMARY MEDICINE OF SC, LLC
923B MEDICAL CIR
MYRTLE BEACH, SC 29572-4116
Phone number: 854-444-9998
Mailing Address
ANGELIC PRIMARY MEDICINE OF SC, LLC
8025 BLACK HORSE PIKE STE 501
PLEASANTVILLE, NJ 08232-2967
Phone number: 609-822-7979
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