Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelic Primary Medicine of SC, LLC

Organization Primary Care Nurse Practitioner · NPI 1730752015

Angelic Primary Medicine of SC, LLC is a Primary Care Nurse Practitioner in Myrtle Beach, South Carolina. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4728 Jenn Dr Ste 102
Myrtle Beach, SC 29577-5714
Phone: (609) 464-1135
Fax: (609) 822-7980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1730752015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janet Gibson — Owner · (609) 464-1135
NPI enumeratedJuly 23, 2021
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address8025 Black Horse Pike Ste 501, Pleasantville, NJ 08232-2967

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