City Of Myrtle Beach

Specialty details in registry · Myrtle Beach, SC

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At a glance

500 Harrelson Blvd, Myrtle Beach, SC 29577-5399

NPPES record updated Jun 5, 2026. Public records can lag behind changes at a practice.

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Practice location

500 Harrelson Blvd
Myrtle Beach, SC 29577-5399
Professional details: NPI, taxonomy & registry record
NPI1275532855
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
341600000X
Enumeration date
Jul 18, 2005
Record updated
Jun 5, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

341600000X · Primary

License reported: 158 SC

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

500 Harrelson Blvd
Myrtle Beach, SC 29577-5399
Phone
(843) 918-1192
Fax
(843) 918-1204
Mailing address
500 HARRELSON BLVD

MYRTLE BEACH, SC 295775399
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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