MYRTLE BEACH PHYSICAL MEDICINE & REHAB, LLC
NPI 1760806160
Family Medicine in Myrtle Beach, SC

Active since February 06, 2014
4736 17 BYPASS SOUTH, MYRTLE BEACH, SC 29588(843) 444-9355(843) 294-0019 Get Directions Write a Review

NPPES record last updated: February 6, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine

About MYRTLE BEACH PHYSICAL MEDICINE & REHAB, LLC

This page provides the complete NPI Profile along with additional information for Myrtle Beach Physical Medicine & Rehab, Llc, a primary care provider established in Myrtle Beach, South Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1760806160 assigned on February 2014. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Myrtle Beach Physical Medicine & Rehab, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Mark Luckie (President)

NPI
1760806160 Verify this NPI
Provider Name
MYRTLE BEACH PHYSICAL MEDICINE & REHAB, LLC
Entity Type
Organization
Location Address
4736 17 BYPASS SOUTH MYRTLE BEACH, SC 29588
Location Phone
(843) 444-9355
Location Fax
(843) 294-0019
Mailing Address
4736 17 BYPASS SOUTH MYRTLE BEACH, SC 29588
Mailing Phone
(843) 444-9355
Mailing Fax
(843) 294-0019
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-06-2014
Last Update Date
02-06-2014
Code Navigator

A primary care provider (PCP) like Myrtle Beach Physical Medicine & Rehab, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARK LUCKIE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(843) 444-9355

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760806160, enumerated as an "organization" on February 06, 2014.

The provider is located at 4736 17 BYPASS SOUTH MYRTLE BEACH, SC 29588 and the phone number is (843) 444-9355.

Family Medicine with taxonomy code 207Q00000X.