DIABETES CENTER LLC
Osteopathic Medicine at Plaza Dr, Garden City, SC

License number
South Carolina 30634
Category
Osteopathic Medicine
Type
Family Medicine
License number
South Carolina 14684
Category
Osteopathic Medicine
Type
Internal Medicine
License number
South Carolina 14684
Category
Osteopathic Medicine
Type
Endocrinology, Diabetes & Metabolism
Owner
Name: MR. BRENT RUSSELL NICOL
Title: BUSINESS MANAGER
Phone: (843) 353-0288
Address
Address 2
11891 Plaza Dr, Garden City, SC 29576
PO Box 15010, Myrtle Beach, SC 29587
National Provider ID: 1114117488
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DIABETES CENTER LLC at bizstanding.com

DIABETES CENTER, LLC THE

1945 Glenns Bay Rd, Myrtle Beach, SC 29575

Registration:
Jul 13, 2000
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Agent:
Philip R Nicol Md

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