Marcia Rosiek
Individual provider Active NPI Contractor · Myrtle Beach, SC
NPI 1831908961 · NPPES record last updated Jan 3, 2025
Key facts
- NPI
- 1831908961
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- A-3827549 (SC)
- Practice address
- 603 Hatteras River Rd
Myrtle Beach, SC 29588-7463 - Phone
- (843) 582-4458
- NPI assigned
- Jan 3, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-3827549 | SC | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | A-3827549 | SC | Yes |
Addresses
Primary practice location
603 Hatteras River Rd
Myrtle Beach, SC 29588-7463
Mailing address
603 Hatteras River Rd
Myrtle Beach, SC 29588-7463
Phone (843) 582-4458
Other providers in Myrtle Beach, SC
- Margaret Ray Trainor Rose
- Victoria Rita Rose
- David Ian Rosenberg
- Naama Rosenheck
- Leeda Roshan
- Daniel L Rosner
- Ross Orthodontics LLC
- Gina Ross
- Loring Lee Ross
- Scott A Ross
All providers in Myrtle Beach, SC · Contractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.