Marcovici, Iacob

Marcovici, Iacob is an individual health care provider with primary practice located at 911 Medical Cir , Myrtle Beach SC 29572-4116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Marcovici, Iacob can be contacted via phone (843) 472-7825.

Contact Information

Primary practice address
911 Medical Cir Myrtle Beach SC 29572-4116
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35610 South Carolina
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 35610 South Carolina

Profile Details

NPI number 1063400240
LBN Legal business name Marcovici, Iacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jan 27th, 2017 - about 8 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 1063400240 NPPES
South Carolina MEDICAID 356108

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