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

Executive Court Medical Specialist PC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1558575217

Executive Court Medical Specialist PC is a Geriatric Medicine (Internal Medicine) Physician in Surfside Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

997 Hwy 17 Business S Ste C
Surfside Beach, SC 29575-6084
Phone: (843) 839-4505
Fax: (843) 839-2851
Show map & directions

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

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 15451 (SC)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 15450 (SC)

Record details

NPI number1558575217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janet Buchanan — Office Manager · (843) 839-4505
Other names Aka E C Medical Specialist
NPI enumeratedMay 10, 2007
Last updated in NPPESNovember 26, 2008
Mailing address4701 Oleander Drive, Suite B, Myrtle Beach, SC 29577