Awaremed Wholistic Urgent Care PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

980006 Issued in NC

Legal business name

AWAREMED WHOLISTIC URGENT CARE PLLC

Practice address

4710 Oleander Drive
Myrtle Beach, SC 29577-5898

Phone

(843) 213-1480

Fax

(843) 712-1973

NPI assigned

Mar 18, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Dalal Anis Akoury, M.D.NPI 1154350965

Title

President

Phone

(843) 315-2520

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dalal A Akoury, M.D.

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1154350965
  NPD (past) Authorized official

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1346564424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 OLEANDER DRIVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775898",
            "telephone_number": "843-213-1480",
            "fax_number": "843-712-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 OLEANDER DRIVE",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775898",
            "telephone_number": "843-213-1480",
            "fax_number": "843-712-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAREMED WHOLISTIC URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "AKOURY",
        "authorized_official_first_name": "DALAL",
        "authorized_official_middle_name": "ANIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-315-2520",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "980006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00387371",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3136318",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• General Practice Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.