Wiss, Joan M

Wiss, Joan M is an individual health care provider with primary practice located at 917 Medical Circle , Myrtle Beach SC 29572. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Wiss, Joan M can be contacted via phone (843) 449-0453.

Contact Information

Primary practice address
917 Medical Circle Myrtle Beach SC 29572
Phone: (843) 449-0453
Fax: (843) 282-1910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 18560 South Carolina

Profile Details

NPI number 1093759755
LBN Legal business name Wiss, Joan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Mar 22nd, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093759755 NPPES
South Carolina MEDICAID 185604

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