Individual provider · Type 1 NPI

Karissa Lena Maria Charles

Family Medicine Physician · Myrtle Beach, SC

NPI number 1104528462 Active

Practice location

3725 Renee Dr
Myrtle Beach, SC 29579-4109

Call (843) 350-1124 Map

Fax (877) 452-8854

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X98057 (SC)

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.

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About NPI 1104528462

Karissa Lena Maria Charles's National Provider Identifier is 1104528462, issued on Mar 20, 2023. 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 Sep 24, 2026.