person
Javier Enrique Canahuati Escobar, DO
Student in an Organized Health Care Education/Training Program in Myrtle Beach, South Carolina
NPI 1164125050

Javier Enrique Canahuati Escobar is a Student in an Organized Health Care Education/Training Program based in Myrtle Beach, SC. Javier Enrique Canahuati Escobar practices in Myrtle Beach, SC and has the professional credentials of DO. The NPI Number for Javier Enrique Canahuati Escobar is 1164125050 and holds a License No. (South Carolina).

The current practice location address for Javier Enrique Canahuati Escobar is 809 82Nd Pkwy, Myrtle Beach, SC and can be reached out via phone at 843-692-1118.

Location: 809 82Nd Pkwy, Myrtle Beach, SC, 29572-4607
person
Provider Profile Details
NPI Number
1164125050
Provider Name
Javier Enrique Canahuati Escobar
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
809 82Nd Pkwy, Myrtle Beach, SC, 29572-4607
Phone Number
843-692-1118
Fax Number
Provider Enumeration Date
03/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
809 82Nd Pkwy
City
State
Zip
29572-4607
Phone Number
843-692-1118
Fax Number
person
Provider Business Mailing Address Details
Address
809 82Nd Pkwy
City
State
Zip
29572-4607
Phone Number
843-692-1118
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(South Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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