Proctor, Edward L
Proctor, Edward L is an individual health care provider with primary practice located at 923 Medical Cir , Myrtle Beach SC 29572-4116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Proctor, Edward L can be contacted via phone (843) 503-5442.Contact Information
Primary practice address
923 Medical Cir
Myrtle Beach SC 29572-4116
Phone: (843) 503-5442
Fax: (843) 449-6213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | 10303 | South Carolina |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 10303 | South Carolina |
Profile Details
| NPI number | 1316917362 |
|---|---|
| LBN Legal business name | Proctor, Edward L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jun 6th, 2016 - about 10 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 | 1316917362 | NPPES |
| North Carolina | MEDICAID | 890659V | |
| North Carolina | MEDICAID | 103033 |
Popular Providers
-
Resen, David E
8619 Edgewater Rdg , Omro WI 54963-9760 -
Covington, Steve M
2701 N Decatur Rd , Decatur GA 30033-5918 -
Scott, Caleb Vanguilder
809 82Nd Pkwy , Myrtle Beach SC 29572-4607 -
Lorsbach, Robert B
3333 Burnet Ave Ml 1010, Cincinnati OH 45229-3026 -
Tisdall, Philip A
1 Hampton Rd Unit 208, Exeter NH 03833-4849 -
Hammond, Stephen
8170 Rourk St Ste 100 , Myrtle Beach SC 29572-4127 -
Swiger, Frederick Karl
311 W 8Th St Ne , Rome GA 30165-2723 -
Meade, Paul Samuel
Mount St. Mary'S Hospital Laboratory 5300 Military Rd, Lewiston NY 14092-2061