Dr. Lindaberry At Carolina Forest, Pc | |
108 Finnegan Ct Myrtle Beach SC 29579-4205 | |
(843) 903-9993 | |
(843) 903-3356 |
Full Name | Dr. Lindaberry At Carolina Forest, Pc |
---|---|
Speciality | Family Medicine |
Location | 108 Finnegan Ct, Myrtle Beach, South Carolina |
Authorized Official Name and Position | Jeffrey Samuel Lindaberry (OWNER) |
Authorized Official Contact | 8439039993 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr. Lindaberry At Carolina Forest, Pc 108 Finnegan Ct Myrtle Beach SC 29579-4205 Ph: (843) 903-9993 | Dr. Lindaberry At Carolina Forest, Pc 108 Finnegan Ct Myrtle Beach SC 29579-4205 Ph: (843) 903-9993 |
NPI Number | 1184635401 |
---|---|
Provider Enumeration Date | 08/11/2006 |
Last Update Date | 11/01/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184635401 | NPI | - | NPPES |
GP4245 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 712 (South Carolina) | Primary |
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