Mary Tobin LLC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

Legal business name

MARY TOBIN LLC

Practice address

10838 Kings Rd
Myrtle Beach, SC 29572-6070

Phone

(843) 215-2400

Fax

(843) 212-4967

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Mary Tobin

Title

Owner

Phone

(843) 424-0615

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1841899903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10838 KINGS RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295726070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10838 KINGS RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295726070",
            "telephone_number": "843-215-2400",
            "fax_number": "843-212-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY TOBIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-424-0615"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick C Martin, DC
• Peter Barry Martin, AA
• Alicia Monay Martinez
• Kaitlyn Taylor Martino, PA-C
• Monica Katelynn Martz, PA-C
• Spencer Masiewicz, DO
• Parker Raley Mason, MD
• Gene Matthew Massey, M.D.
• Kayla Masso, PHARMD
• Amy A Mathney, P.T.A.

• Psychiatric/Mental Health Registered Nurse in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Psychiatric/Mental Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.