Active NPIOrganization

Angelic Health Practice Group

Nurse Practitioner, Community Health in Myrtle Beach, South Carolina

NPI Number1891448064
Practice location
923C Medical Circle, Myrtle Beach, SC 29572
Fax
843-356-4086
Last updated
January 12, 2024

Angelic Health Practice Group is a healthcare organization based in Myrtle Beach, SC. Angelic Health Practice Group practices in Myrtle Beach, SC. The NPI Number for Angelic Health Practice Group is 1891448064. The current practice location address for Angelic Health Practice Group is 923C Medical Circle, Myrtle Beach, SC 29572 and can be reached out via phone at 843-356-9078 and via fax at 843-356-4086.

Provider Profile Details

NPI Number
1891448064
Provider Name
Angelic Health Practice Group
Provider Entity Type
Organization
Address
923C Medical Circle, Myrtle Beach, SC 29572
Phone Number
843-356-9078
Fax Number
843-356-4086
Primary Taxonomy
Nurse Practitioner, Community Health · 363LC1500X
Organization Subpart
No
Authorized Official
Dan Mikus · Ceo · 609-822-7979
Other Names
Angelic Palliative Care Of Sc (Doing Business As)
Provider Enumeration Date
January 28, 2022
Last Update Date
January 12, 2024
Certification Date
January 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
923C Medical Circle
Myrtle Beach, SC 29572
Zip
29572
Phone Number
843-356-9078
Fax Number
843-356-4086
Myrtle Beach, SC 29572Get directions →

Provider Business Mailing Address Details

Address
8025 Black Horse Pike Ste 501
Pleasantville, NJ 08232-2967
City
Pleasantville
State
NJ
Zip
08232-2967
Phone Number
609-822-7979

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
Taxonomy (2)
Nurse Practitioner, Community Health · 363LC1500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Angelic Health Practice Group?

The NPI number of Angelic Health Practice Group is 1891448064. It was assigned on January 28, 2022 and is currently active in the NPPES registry.

What is the specialty of Angelic Health Practice Group?

Angelic Health Practice Group is registered under the primary taxonomy Nurse Practitioner, Community Health (code 363LC1500X).

Where does Angelic Health Practice Group practice?

The practice location is 923C Medical Circle, Myrtle Beach, SC 29572. The office can be reached at 843-356-9078 (phone) or 843-356-4086 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891448064 directly on the NPPES registry website.

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