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Lydia Ivette Vidal-cardozo, PAC
Medical Physician Assistant in Myrtle Beach, South Carolina
NPI 1174533863

Lydia Ivette Vidal-cardozo is a Medical Physician Assistant based in Myrtle Beach, SC and is specialized in Medical. Lydia Ivette Vidal-cardozo practices in Myrtle Beach, SC and has the professional credentials of PAC. The NPI Number for Lydia Ivette Vidal-cardozo is 1174533863 and holds a License No. C0000746 (South Carolina).

The current practice location address for Lydia Ivette Vidal-cardozo is 108 Finnegan Ct, Myrtle Beach, SC and can be reached out via phone at 843-909-9993 and via fax at 843-903-3366.

Location: 108 Finnegan Ct, Myrtle Beach, SC, 29579-4205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174533863
Provider Name
Lydia Ivette Vidal-cardozo
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
108 Finnegan Ct, Myrtle Beach, SC, 29579-4205
Phone Number
843-909-9993
Fax Number
843-903-3366
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
108 Finnegan Ct
City
Myrtle Beach
State
South Carolina
Zip
29579-4205
Phone Number
843-909-9993
Fax Number
843-903-3366
person
Provider Business Mailing Address Details
Address
108 Finnegan Ct
City
Myrtle Beach
State
South Carolina
Zip
29579-4205
Phone Number
843-909-9993
Fax Number
843-903-3366
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
PA1294 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
C0000746 (Maryland)
Definition
Definition to come...
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