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

MR. EDENBOROUGH GENOSA HIBIONADA

Active Sole Proprietor

Hand Therapy · MYRTLE BEACH, SC

Registration Details

NPI Number
1912891615
Provider Type
Individual
Gender
Male
NPI Issued
Jun 6, 2025 (0.88411644100878 yrs)
Last Updated
Jun 6, 2025
License
2841 (SC)
Sole Proprietor
Yes

Practice Information

Address
3412 PICKET FENCE LN
MYRTLE BEACH, SC, 295793323
Browse SC providers · Browse ZIP 29579
Phone
8434504936
Primary Specialty
Hand Therapy
2251G0304X
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.