OrganizationActive
Angelic Primary Medicine of Sc, LLC
NPI 1730752015 · Primary Care Nurse Practitioner · Myrtle Beach, SC
Provider details
- NPI number
- 1730752015
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Janet Gibson, Owner
Practice location
4728 Jenn Dr Ste 102
Myrtle Beach, SC 29577-5714
Phone: (609) 464-1135
Fax: (609) 822-7980
Mailing address
8025 Black Horse Pike Ste 501
Pleasantville, NJ 08232-2967
Registry dates
- Enumerated
- 2021-07-23
- Last updated
- 2025-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.