Individual provider · Type 1 NPI
Stephen Hanneken, PA-C
Medical Physician Assistant · Myrtle Beach, SC
NPI number
1073632022
Active
Practice location
2510 N Kings Hwy
Myrtle Beach, SC 29577-3037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MPA.5574 (SC) |
| Physician Assistant | 363A00000X | None listed |
Medical Physician Assistant: Definition to come...
2 other providers at this address
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About NPI 1073632022
Stephen Hanneken, PA-C's National Provider Identifier is 1073632022, issued on Mar 29, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Myrtle Beach, SC. The record was last updated on Nov 15, 2025.