NPI 1295773695
Surgical Associates of Myrtle Beach, LLC
Practice location
- Address
- 845 82nd Pkwy, Myrtle Beach, SC 29572-4614
- Phone
- (843) 449-9621
- Fax
- (843) 449-4921
Authorised official
- Name
- Lane Ingram Moore
- Title
- Partner
- Phone
- (843) 449-9621
Registered specialties
Surgery Physician
Primary
Registry record
- NPI
- 1295773695
- Entity type
- Organization
- NPI issued
- 4 Jun 2006
- Record last updated
- 10 Nov 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.