Individual provider · Type 1 NPI

Philip Mardock

Student in an Organized Health Care Education/Training Program · Myrtle Beach, SC

NPI number 1447900949 Active

Practice location

809 82nd Pkwy
Myrtle Beach, SC 29572-4607

Call (843) 692-1118 Map

Fax (843) 692-1122

Mailing address

2021 N Sizer Ave Apt 224
Jefferson City, TN 37760-5149

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447900949

Philip Mardock's National Provider Identifier is 1447900949, issued on Mar 27, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Mar 28, 2022.