Marion R Novak in Myrtle Beach - Medical

Marion R Novak - NPI 1578562039

Marion R Novak is a Medical in Myrtle Beach, South Carolina. Marion R Novak practices all healthcare services and medical treatments related to Medical. The NPI Number for Marion R Novak is 1578562039. The last update date is 2007-07-08.

Marion R Novak's current location address is 4615 Oleander Dr, Myrtle Beach, South Carolina. You can contact this provider via phone number 8434975929 and fax number 8434979940. The mailing address for Marion R Novak is 4615 Oleander Dr, Myrtle Beach, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Marion R Novak
Address 4615 Oleander Dr, Myrtle Beach, South Carolina
Phone Number 8434975929
Fax Number 8434979940
Sole Proprietor X
Credentials P.A.

NPI Number Detail

NPI Number 1578562039
Provider Enumeration Date 2005-07-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4615 Oleander Dr
City Myrtle Beach
State South Carolina (SC)
Post Code 295775741
Phone Number 8434975929
Fax Number 8434979940

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1000
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0311PA SC --

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FAQs about Marion R Novak

What is the unique 10-digit identifier code issued to Marion R Novak by the Centers for Medicare & Medicaid Services?

The Marion R Novak has been assigned the NPI (National Provider Identifier) 1578562039 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Marion R Novak is physically located?

The Marion R Novak is physically situated at the following address: 4615 Oleander Dr, Myrtle Beach, SC, 295775741.

What is the area of specialization for Marion R Novak, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Marion R Novak is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

On what date was the 1578562039 assigned to Marion R Novak?

The Marion R Novak was issued its 1578562039 on 2005-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Marion R Novak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Marion R Novak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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