Lee, David B

Lee, David B is an individual health care provider with primary practice located at 210 Village Center Blvd Suite 200, Myrtle Beach SC 29579-6683. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Lee, David B can be contacted via phone (843) 236-3222.

Contact Information

Primary practice address
210 Village Center Blvd Suite 200 Myrtle Beach SC 29579-6683
Phone: (843) 236-3222
Fax: (843) 236-3005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 9990RS South Carolina

Profile Details

NPI number 1518923143
LBN Legal business name Lee, David B
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Aug 28th, 2009 - about 16 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 1518923143 NPPES
South Carolina MEDICAID 0347PA

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