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

Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC

Organization Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · NPI 1669188538

Southern Shores Urogynecology and Pelvic Reconstructive Surgery PC is an Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Myrtle Beach, South Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1021 Cipriana Dr Ste 250
Myrtle Beach, SC 29572-4621
Phone: (843) 895-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X

Record details

NPI number1669188538
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janet Harris-Hicks — Owner · (843) 895-2120
NPI enumeratedJanuary 25, 2023
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023
Mailing address1021 Cipriana Dr Ste 250, Myrtle Beach, SC 29572-4621

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