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

Myrtle Beach Physical Medicine & Rehab, LLC

Organization Family Medicine Physician · NPI 1760806160

Myrtle Beach Physical Medicine & Rehab, LLC is a Family Medicine Physician in Myrtle Beach, South Carolina. Registered with an NPI since 2014.

In the registry since
2014
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

4736 17 Byp S
Myrtle Beach, SC 29588
Phone: (843) 444-9355
Fax: (843) 294-0019
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1760806160
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Luckie — President · (843) 444-9355
NPI enumeratedFebruary 6, 2014
Last updated in NPPESFebruary 6, 2014
Mailing address4736 17 Bypass South, Myrtle Beach, SC 29588

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