Passport Health Holdings LLC
NPI #1043640048 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1043640048
- Entity Type
- Organization
- Organization Name
- Passport Health Holdings LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 13, 2013
- Last Updated
- Apr 1, 2022
Practice Location
- Address
- 3691 PALMETTO POINT BOULEVARD
- Address 2
- SUITE 301
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29588-1202
- Phone
- (877) 358-8648
Authorized Official
- Name
- MR. PAUL FISHBURN
- Title
- CHIEF OPERATING OFFICER
- Phone
- (480) 646-9020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preventive Medicine - Public Health & General Preventive Medicine — Public Health & General Preventive Medicine |
| Clinic/Center |
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