Pepe, Antonio P
Pepe, Antonio P is an individual health care provider with primary practice located at 920 Doug White Dr Ste 210 , Myrtle Beach SC 29572-4181. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Pepe, Antonio P can be contacted via phone (843) 497-6348.Contact Information
Primary practice address
920 Doug White Dr Ste 210
Myrtle Beach SC 29572-4181
Phone: (843) 497-6348
Fax: (843) 497-6351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME98204 | Florida |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME98204 | Florida |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 34221 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 34221 | South Carolina |
Profile Details
| NPI number | 1487873485 |
|---|---|
| LBN Legal business name | Pepe, Antonio P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Feb 9th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487873485 | NPPES |
| South Carolina | MEDICAID | 034221200 | |
| South Carolina | MEDICAID | 277958700 |
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