MARKET COMMONS VA CLINIC (3518)    INSTITUTION (4)

Name Value
NAME MARKET COMMONS VA CLINIC
STATE SOUTH CAROLINA
STREET ADDR. 1 1101 JOHNSON AV, #R-2A
CITY MYRTLE BEACH
ZIP 29577-1893
OFFICIAL VA NAME MARKET COMMONS VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MYRTLE BEACH 1 VA CLINIC
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1164810297
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
STATION NUMBER 534QA