Acs Primary Care Physicians - Southeast Pc in Myrtle Beach - Physician Assistant
Acs Primary Care Physicians - Southeast Pc - NPI 1861430555
Acs Primary Care Physicians - Southeast Pc is a Physician Assistant in Myrtle Beach, South Carolina. Acs Primary Care Physicians - Southeast Pc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Acs Primary Care Physicians - Southeast Pc is 1861430555. The last update date is 2019-09-16.
Acs Primary Care Physicians - Southeast Pc's current location address is 809 82nd Pkwy, Myrtle Beach, South Carolina. You can contact this provider via phone number 8436921000. The mailing address for Acs Primary Care Physicians - Southeast Pc is 809 82nd Pkwy, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Address | 809 82nd Pkwy, Myrtle Beach, South Carolina |
| Phone Number | 8436921000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dabbs L. Randal |
| Credentials | M.D. |
| Telephone Number | 8652935210 |
NPI Number Detail
| NPI Number | 1861430555 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2019-09-16 |
Provider Mailing Address Detail
| Address | 809 82nd Pkwy |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295724607 |
| Phone Number | 8436921000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300041934A | GA | -- | |
| DC4477 | GA | MEDICARE TRAVELERS RR - G | |
| DO7575 | SC | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Acs Primary Care Physicians - Southeast Pc by the Centers for Medicare & Medicaid Services?
The Acs Primary Care Physicians - Southeast Pc has been issued the NPI (National Provider Identifier) 1861430555 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
What is Acs Primary Care Physicians - Southeast Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Acs Primary Care Physicians - Southeast Pc's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
What is Acs Primary Care Physicians - Southeast Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Acs Primary Care Physicians - Southeast Pc is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1861430555 to Acs Primary Care Physicians - Southeast Pc?
The Centers for Medicare & Medicaid Services assigned the 1861430555 to Acs Primary Care Physicians - Southeast Pc on 2006-06-03.
When was the information related to Acs Primary Care Physicians - Southeast Pc most recently updated or refreshed?
The details pertaining to the Acs Primary Care Physicians - Southeast Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-09-16.