Provider Information for 1578284998
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JONATHAN DARLING
Sex: Male
NPI: 1578284998
Last Updated: 2024-09-10
Certification Date: 2024-09-10
Certification Date: 2024-09-10
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1578284998 | ||||||||
| Enumeration Date | 2022-09-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1113 44TH AVE N STE 100 MYRTLE BEACH, SC 29577-5780 United States Phone: 843-449-6261 | Fax: | ||||||||
| Primary Practice Address | 1113 44TH AVE N STE 100 MYRTLE BEACH, SC 29577-5780 United States Phone: 843-449-6261 | Fax: | ||||||||
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