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Forrest A Pommerenke, MD
General Practice Physician in Myrtle Beach, South Carolina
NPI 1952331662

Forrest A Pommerenke is a General Practice Physician based in Little River, SC. Forrest A Pommerenke practices in Myrtle Beach, SC and has the professional credentials of MD. The NPI Number for Forrest A Pommerenke is 1952331662 and holds a License No. 22630 (South Carolina).

The current practice location address for Forrest A Pommerenke is 4220 Carolina Exchange Dr, Myrtle Beach, SC and can be reached out via phone at 843-663-8013 and via fax at 843-663-8166. You can also correspond with Forrest A Pommerenke through the mailing address at PO BOX 547, LITTLE RIVER, SC - 29566-0547 (mailing address contact number: 843-663-8013).

Location: 4220 Carolina Exchange Dr, Myrtle Beach, SC, 29566-0547
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Provider Profile Details
NPI Number
1952331662
Provider Name
Forrest A Pommerenke
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4220 Carolina Exchange Dr, Myrtle Beach, SC, 29566-0547
Phone Number
843-663-8013
Fax Number
843-663-8166
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
226302 05 SC
institution
Provider Business Practice Location Address Details
Address
4220 Carolina Exchange Dr
City
State
Zip
29579-4220
Phone Number
843-663-8013
Fax Number
843-663-8166
person
Provider Business Mailing Address Details
Address
4220 Carolina Exchange Dr
City
State
Zip
29579-4220
Phone Number
843-663-8013
Fax Number
843-663-8166
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
22630 (South Carolina)
Definition
Definition to come...
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