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Robert Jansen
Urology Physician in Myrtle Beach, South Carolina
NPI 1316180847

Robert Jansen is a Urology Physician based in Fort Myers, SC. Robert Jansen practices in Myrtle Beach, SC. The NPI Number for Robert Jansen is 1316180847 and holds a License No. (South Carolina).

The current practice location address for Robert Jansen is 823 82Nd Pkwy, Myrtle Beach, SC and can be reached out via phone at 843-449-1010 and via fax at 843-497-6171.

Location: 823 82Nd Pkwy, Myrtle Beach, SC, 33907-1412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316180847
Provider Name
Robert Jansen
Credential
Provider Entity Type
Individual
Gender
Male
Address
823 82Nd Pkwy, Myrtle Beach, SC, 33907-1412
Phone Number
843-449-1010
Fax Number
843-497-6171
Provider Enumeration Date
04/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4789482 01 SC AETNA
RR MEDICARE 01 SC P01378093
1010218 01 SC WELLCARE
1316180847 05 NC
366534 05 SC
institution
Provider Business Practice Location Address Details
Address
823 82Nd Pkwy
City
Myrtle Beach
State
South Carolina
Zip
29572-4607
Phone Number
843-449-1010
Fax Number
843-497-6171
person
Provider Business Mailing Address Details
Address
823 82Nd Pkwy
City
Myrtle Beach
State
South Carolina
Zip
29572-4607
Phone Number
843-449-1010
Fax Number
843-497-6171
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
MD36653 (South Carolina)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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