OrganizationActive
Myrtle Beach Spine Center, PA
NPI 1962764142 · Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician · Myrtle Beach, SC
Provider details
- NPI number
- 1962764142
- Entity type
- Organization
- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Michael Gambacorta, Owner
Practice location
100 Legends Rd Suite a
Myrtle Beach, SC 29579-7076
Phone: (843) 236-9090
Fax: (843) 236-9099
Mailing address
100 Legends Rd Ste a
Myrtle Beach, SC 29579-7076
Registry dates
- Enumerated
- 2012-06-13
- Last updated
- 2024-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.