OrganizationActive
Diabetes Center LLC
NPI 1114117488 · Internal Medicine Physician · Murrells Inlet, SC
Provider details
- NPI number
- 1114117488
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brent Nicol, Business Manager(843) 353-0288
- License
- 30634 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11891 Plaza Drive
Murrells Inlet, SC 29576
Phone: (843) 353-0288
Fax: (843) 357-9770
Street-level locationGet directions
Mailing address
Po Box 15010
Surfside Beach, SC 29587-5010
Registry dates
- Enumerated
- 2007-08-01
- Last updated
- 2012-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.