Brothers, Justin Gerard

Brothers, Justin Gerard is an individual health care provider with primary practice located at 210 Village Center Blvd Suite 200, Myrtle Beach SC 29579-6706. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Brothers, Justin Gerard can be contacted via phone (843) 236-3222.

Contact Information

Primary practice address
210 Village Center Blvd Suite 200 Myrtle Beach SC 29579-6706
Phone: (843) 236-3222
Fax: (843) 236-3005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X TL39293 South Carolina

Profile Details

NPI number 1285946269
LBN Legal business name Brothers, Justin Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2010
Last updated Jul 20th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285946269 NPPES
South Carolina Other 39293 MEDICAL LICENSE
South Carolina MEDICAID 392934 MEDICAL LICENSE

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