Skerdilaid Licaj, P.A.

NPI #1023212842 in North Myrtle Beach, South Carolina

Provider Information

NPI Number: 1023212842
Entity Type: Individual
Name: Skerdilaid Licaj, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jun 14, 2007
Last Updated: Mar 31, 2008

Practice Location

Address: 1714 HIGHWAY 17 S
City: North Myrtle Beach
State: South Carolina
ZIP Code: 29582-4041
Phone: (843) 545-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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