Individual provider · Type 1 NPI

Christopher Acquaviva, DO

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

NPI number 1831991629 Active

Practice location

Tidelands Health Family Medicine, 4320 Holmestown Road
Myrtle Beach, SC 29588

Call (843) 652-8440 Map

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 1831991629

Christopher Acquaviva, DO's National Provider Identifier is 1831991629, issued on Mar 25, 2025. 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 25, 2025.