Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANTHONY SHADIACK, DO
ActiveDR. ANTHONY SHADIACK, DO is a Family Medicine healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1427328533 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1427328533
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2012 (14.619574167471 yrs)
- Last Updated
- Aug 31, 2022
- Licenses
-
OS13394 (FL)82082 (SC)82082 (SC)
Practice Information
- Address
-
920 DOUG WHITE DR STE 250MYRTLE BEACH, SC, 295724181Browse SC providers · Browse ZIP 29572
- Phone
- 8438484640
- Fax
- 8438392382
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Sports Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MYRTLE BEACH, SC
| Name | Credential | NPI |
|---|---|---|
| CHAD R. HUBERTY | M.D. | 1407852304 |
| ZAUNDRA E. JONES | M.D. | 1902803224 |
| DR. JOHN Y. KARL | MD | 1831196773 |
| ERIC R SENN | M.D. | 1295733012 |
| JOSEPH J DAVEY | M.D. | 1932108230 |
| SCOTT A ROSS | MD | 1841290129 |
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.