Skerdilaid Licaj in Myrtle Beach - Physician Assistant
Skerdilaid Licaj - NPI 1023212842
Skerdilaid Licaj is a Physician Assistant in Myrtle Beach, South Carolina. Skerdilaid Licaj practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Skerdilaid Licaj is 1023212842. The last update date is 2008-03-31.
Skerdilaid Licaj's current location address is 7603 Driftwood Dr, Myrtle Beach, South Carolina. You can contact this provider via phone number 8436929099. The mailing address for Skerdilaid Licaj is 7603 Driftwood Dr, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Skerdilaid Licaj |
|---|---|
| Address | 7603 Driftwood Dr, Myrtle Beach, South Carolina |
| Phone Number | 8436929099 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1023212842 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2008-03-31 |
Provider Mailing Address Detail
| Address | 7603 Driftwood Dr |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295724153 |
| Phone Number | 8436929099 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1212 |
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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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What is the Skerdilaid Licaj's 1023212842?
The Skerdilaid Licaj's NPI (National Provider Identifier) Number is 1023212842. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Skerdilaid Licaj located?
The Skerdilaid Licaj is located at 7603 Driftwood Dr, Myrtle Beach, SC 295724153.
What is Skerdilaid Licaj's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Skerdilaid Licaj is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When was the Skerdilaid Licaj's 1023212842 issued?
The Skerdilaid Licaj's 1023212842 was issued on 2007-06-14.
When was the information related to Skerdilaid Licaj most recently updated or refreshed?
The details pertaining to the Skerdilaid Licaj, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-31.