Organization · Type 2 NPI

States of Wellbeing

Family Medicine Physician · Myrtle Beach, SC

NPI number 1053285643 Active

Practice location

176 Village Center Blvd
Myrtle Beach, SC 29579-5622

Call (304) 482-4826 Map

Fax (843) 484-3831

Mailing address

810 Carolina Farms Blvd
Myrtle Beach, SC 29579-3568

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

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About NPI 1053285643

States of Wellbeing's National Provider Identifier is 1053285643, issued on Oct 6, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Nov 18, 2025.