Individual provider Active NPI

Christopher Glenn Johnson II, MD

  • Family Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1295232684
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95482 Issued in SC
Practice address
4320 Holmestown Rd
Myrtle Beach, SC 29588-7837
Phone
(843) 652-8440
Fax
(843) 652-8441
NPI assigned
Apr 11, 2018
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95482 SC Primary
Family Medicine Physician 207Q00000X 98793 GA
Family Medicine Physician 207Q00000X D93248 MD

Addresses

Primary practice location

4320 Holmestown Rd
Myrtle Beach, SC 29588-7837

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000

Other practice location 1

456 N Main St
Hemingway, SC 29554-9190
Phone (843) 558-9319

Other practice location 2

9699 Ocean HWY
Pawleys Island, SC 29585-7425
Phone (843) 237-4296

Other practice location 3

2200 Crow Ln Ste 301
Myrtle Beach, SC 29577-1663
Phone (843) 848-5300

Other practice location 4

4070 Highway 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000

Other practice location 5

1075 N Fraser St
Georgetown, SC 29440-2848
Phone (843) 527-4442

Other practice location 6

4301 Dick Pond Rd
Myrtle Beach, SC 29588-6807
Phone (843) 652-8100

Other practice location 7

4367 Riverwood Dr Unit 110
Murrells Inlet, SC 29576-4381
Phone (843) 652-8046

Other practice location 8

701 S Morgan Ave
Andrews, SC 29510-2959
Phone (843) 264-5253

Other practice location 9

11916 Highway 707 Ste D
Murrells Inlet, SC 29576-9610
Phone (843) 652-8450

Other practice location 10

1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-8623

Other practice location 11

1453 Harper St
Augusta, GA 30912-0020
Phone (202) 735-1128

Other practice location 12

606 Black River Rd
Georgetown, SC 29440-3368
Phone (843) 527-7000

Other practice location 13

2347 S Highway 17
Murrells Inlet, SC 29576-7611
Phone (843) 357-2443

Electronic endpoints 12

TypeEndpointUseAffiliation
Direct Messaging Address cjohnson546007@direct.musc.edu Direct Georgetown Memorial Hospital
Direct Messaging Address cjohnson546007@direct.musc.edu Direct Waccamaw Community Hospital
Direct Messaging Address cjohnson546007@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address cjohnson546007@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address cjohnson546007@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address cjohnson546007@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address cjohnson546007@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address cjohnson546007@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address cjohnson546007@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address cjohnson546007@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address cjohnson546007@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address cjohnson546007@direct.musc.edu Direct Georgetown Physician Associates, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, VA, TN, GA, SC5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20220322001237 AL Practitioner - Family Practice 9931594934 Reassigns benefits to 2 organizations
I20240119003468 VA Practitioner - Family Practice 9931594934 Reassigns benefits to 1 organization
I20240206002735 TN Practitioner - Family PracticePractitioner - Internal Medicine 9931594934 Reassigns benefits to 1 organization
I20240816001152 GA Practitioner - Family PracticePractitioner - Sports Medicine 9931594934 Reassigns benefits to 1 organization
I20251006001253 SC Practitioner - Family Practice 9931594934 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4320 Holmestown Rd
Myrtle Beach, SC 29588-7837
Phone (843) 652-8440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
41.83 of 100Reported as group
Quality
3.95
Improvement activities
40
Cost
82.18

Merit-based Incentive Payment System (MIPS)

Final score
72.91 of 100Reported as group
Quality
50.88
Improvement activities
40
Cost
69.9

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
Quality
21.4
Improvement activities
0
Cost
76.92

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Indiana PC CurrentSince Dec 4, 2023 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2024 Accepting new patients
Georgetown Physician Associates, LLC Family Medicine Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 1, 2024 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jan 1, 2024 Accepting new patients
Crestwood HB Medical Services LLC CurrentSince Feb 16, 2024 Accepting new patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Imc-Hospitalists LLC CurrentSince May 1, 2022 Accepting new patients
Pepper Branch Physician Services, PC Family Medicine CurrentSince Nov 19, 2023 Accepting new patients
Georgetown Physician Associates, LLC Family Medicine CurrentSince Oct 20, 2025 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2024 Accepting new patients
Georgetown Memorial Hospital CurrentSince Oct 20, 2025 Accepting new patients
Georgetown Physician Associates LLC Family Medicine CurrentSince Oct 20, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2024 Accepting new patients
Waccamaw Community Hospital CurrentSince Oct 20, 2025 Accepting new patients
Georgetown Memorial Hospital CurrentSince Oct 20, 2025 Accepting new patients
Georgetown Physician Services, LLC Family Medicine Past Accepting new patients

Locations (25 of 29)

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 880-4177

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

1220 W Wheeler Pkwy
Augusta, GA 30909
Phone (706) 721-2741

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409

701 S Morgan Ave
Andrews, SC 29510
Phone (843) 264-5253

1075 N Fraser St
Georgetown, SC 29440
Phone (843) 527-3588

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

456 N Main St
Hemingway, SC 29554
Phone (843) 558-9319

11916 Highway 707
Ste D
Murrells Inlet, SC 29576
Phone (843) 652-8450

2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443

4367 Riverwood Dr
Unit 110
Murrells Inlet, SC 29576
Phone (843) 652-8046

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

2200 Crow Ln
Ste 301
Myrtle Beach, SC 29577
Phone (843) 848-5300

4301 Dick Pond Rd
Myrtle Beach, SC 29588
Phone (843) 652-8100

4320 Holmestown Rd
Myrtle Beach, SC 29588
Phone (843) 546-3132

12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231

Interoperability endpoints

  • Direct secure messaging: christopher.johnson.1@15259.direct.athenahealth.com
  • Direct secure messaging: cjohnson546007@direct.musc.edu

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1295232684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203",
            "telephone_number": "843-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 HOLMESTOWN RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887837",
            "telephone_number": "843-652-8440",
            "fax_number": "843-652-8441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "456 N Main St",
            "address_purpose": "LOCATION",
            "city": "Hemingway",
            "state": "SC",
            "postal_code": "295549190",
            "country_code": "US",
            "telephone_number": "843-558-9319",
            "fax_number": "843-558-9818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9699 Ocean HWY",
            "address_purpose": "LOCATION",
            "city": "Pawleys Island",
            "state": "SC",
            "postal_code": "295857425",
            "country_code": "US",
            "telephone_number": "843-237-4296",
            "fax_number": "843-237-0495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Crow Ln Ste 301",
            "address_purpose": "LOCATION",
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            "state": "SC",
            "postal_code": "295771663",
            "country_code": "US",
            "telephone_number": "843-848-5300",
            "fax_number": "843-848-5305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4070 Highway 17",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295765033",
            "country_code": "US",
            "telephone_number": "843-652-1000",
            "fax_number": "843-520-8403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1075 N Fraser St",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294402848",
            "country_code": "US",
            "telephone_number": "843-527-4442",
            "fax_number": "843-527-4027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 Dick Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295886807",
            "country_code": "US",
            "telephone_number": "843-652-8100",
            "fax_number": "843-652-8122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4367 Riverwood Dr Unit 110",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295764381",
            "country_code": "US",
            "telephone_number": "843-652-8046",
            "fax_number": "843-357-9771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 S Morgan Ave",
            "address_purpose": "LOCATION",
            "city": "Andrews",
            "state": "SC",
            "postal_code": "295102959",
            "country_code": "US",
            "telephone_number": "843-264-5253",
            "fax_number": "843-264-5970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11916 Highway 707 Ste D",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295769610",
            "country_code": "US",
            "telephone_number": "843-652-8450",
            "fax_number": "843-652-8451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-8623",
            "fax_number": "706-721-1459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1453 Harper St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120020",
            "country_code": "US",
            "telephone_number": "202-735-1128",
            "fax_number": "346-205-0335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 Black River Rd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294403368",
            "country_code": "US",
            "telephone_number": "843-527-7000",
            "fax_number": "843-520-8403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2347 S Highway 17",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295767611",
            "country_code": "US",
            "telephone_number": "843-357-2443",
            "fax_number": "843-357-2132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "95482",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "98793",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D93248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson546007@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Georgetown Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Black River Rd",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson546007@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Waccamaw Community Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4070 Highway 17",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson546007@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4367 Riverwood Dr Unit 110",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295764381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson546007@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "456 N Main St",
            "city": "Hemingway",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295549190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson546007@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1075 N Fraser St",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294402848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson546007@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4301 Dick Pond Rd",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295886807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson546007@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 S Morgan Ave",
            "city": "Andrews",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295102959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson546007@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9699 Ocean HWY",
            "city": "Pawleys Island",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295857425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson546007@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Crow Ln Ste 301",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295771663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson546007@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11916 Highway 707 Ste D",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295769610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson546007@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2347 S Highway 17",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295767611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson546007@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4320 Holmestown Rd",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295887837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.