MR. GLEN NEAL LILLY, PA-C
Physician Assistant at Dick Pond Rd, Myrtle Beach, SC

License number
South Carolina 2189
Category
Nursing
Type
Physician Assistant
License number
South Carolina TL2189
Category
Nursing
Type
Physician Assistant
Address
Address 2
4301 Dick Pond Rd, Myrtle Beach, SC 29588
PO Box 1209, Garden City, SC 29576
Phone
(843) 652-8100
(843) 652-8122 (Fax)
(843) 652-8220
(843) 527-7080 (Fax)
National Provider ID: 1275935934
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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