person
Mr. Blaine B. Rourke, DO
Student in an Organized Health Care Education/Training Program in Myrtle Beach, South Carolina
NPI 1184640740

Blaine B. Rourke is a Student in an Organized Health Care Education/Training Program based in Myrtle Beach, SC. Blaine B. Rourke practices in Myrtle Beach, SC and has the professional credentials of DO. The NPI Number for Blaine B. Rourke is 1184640740 and holds a License No. PA03254 (South Carolina).

The current practice location address for Blaine B. Rourke is 809 82Nd Pkwy, Myrtle Beach, SC and can be reached out via phone at 843-692-1752 and via fax at 843-692-1904.

Location: 809 82Nd Pkwy, Myrtle Beach, SC, 29572-4607
person
Provider Profile Details
NPI Number
1184640740
Provider Name
Blaine B. Rourke
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
809 82Nd Pkwy, Myrtle Beach, SC, 29572-4607
Phone Number
843-692-1752
Fax Number
843-692-1904
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8L5723 01 TX MEDICARE PTAN
182196901 05 TX
institution
Provider Business Practice Location Address Details
Address
809 82Nd Pkwy
City
State
Zip
29572-4607
Phone Number
843-692-1752
Fax Number
843-692-1904
person
Provider Business Mailing Address Details
Address
809 82Nd Pkwy
City
State
Zip
29572-4607
Phone Number
843-692-1752
Fax Number
843-692-1904
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
PA03254 (Texas)
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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