Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYDIA IVETTE VIDAL-CARDOZO, PAC
ActiveLYDIA IVETTE VIDAL-CARDOZO, PAC is a Medical Physician Assistant healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1174533863 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1174533863
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2006 (19.974901883034 yrs)
- Last Updated
- Jan 15, 2014
- Licenses
-
C0000746 (MD)PA1294 (SC)
Practice Information
- Address
-
108 FINNEGAN CTMYRTLE BEACH, SC, 295794205Browse SC providers · Browse ZIP 29579
- Phone
- 8439099993
- Fax
- 8439033366
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in MYRTLE BEACH, SC
| Name | Credential | NPI |
|---|---|---|
| BRIAN LOSKILL | P.A. | 1598764037 |
| MR. PHILLIP MARK SKEEN | PA | 1992788822 |
| MR. SANFORD J. HARDIN II | PA-C | 1700993250 |
| AMY ROSE HANCOCK | PAC | 1346350089 |
| TANYA C BRALLEY | P.A. | 1073667234 |
| STEPHEN HANNEKEN | PA-C | 1073632022 |
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.