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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SKERDILAID LICAJ, P.A.

Active

SKERDILAID LICAJ, P.A. is a Physician Assistant healthcare provider located in NORTH MYRTLE BEACH, South Carolina. NPI 1023212842 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · NORTH MYRTLE BEACH, SC

Registration Details

NPI Number
1023212842
Provider Type
Individual
Gender
Male
NPI Issued
Jun 14, 2007 (19.159659113672 yrs)
Last Updated
Mar 31, 2008
License
1212 (SC)

Practice Information

Address
1714 HIGHWAY 17 S
NORTH MYRTLE BEACH, SC, 295824041
Browse SC providers · Browse ZIP 29582
Phone
8435457200
Fax
8435455742
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in NORTH MYRTLE BEACH, SC

Name Credential NPI
CHERYL HENSON PA 1528057171
MS. LOLA TERESA MARGRON PA-C 1538374905
MS. JEANNE PATRICIA GATES PA-C 1013122746
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.