DEREK ANTHONY PRIDE

MYRTLE BEACH, SC
NPI1952938847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  83289)
Enumeration Date2020-03-23
Last Update Date2023-07-28
Business Address
DEREK ANTHONY PRIDE
945 82ND PKWY
MYRTLE BEACH, SC 29572-4612
Phone number: 843-497-5929
Mailing Address
DEREK ANTHONY PRIDE
PO BOX 3439
NORTH MYRTLE BEACH, SC 29582-0439
Phone number: 843-839-4447
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