Nicholson, George B
Nicholson, George B is an individual health care provider with primary practice located at 845 82Nd Pkwy , Myrtle Beach SC 29572-4614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Nicholson, George B can be contacted via phone (843) 449-9621.Contact Information
Primary practice address
845 82Nd Pkwy
Myrtle Beach SC 29572-4614
Phone: (843) 449-9621
Fax: (843) 449-4921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 9938 | South Carolina |
Profile Details
| NPI number | 1184608937 |
|---|---|
| LBN Legal business name | Nicholson, George B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Mar 22nd, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184608937 | NPPES |
| South Carolina | MEDICAID | 099388 |
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