Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Angelic Primary Medicine of SC, LLC

Organization Primary Care Nurse Practitioner · NPI 1730752015

Angelic Primary Medicine of SC, LLC provides Primary Care Nurse Practitioner services in Myrtle Beach, South Carolina. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4728 Jenn Dr Ste 102
Myrtle Beach, SC 29577-5714
Phone: (854) 600-9684
Fax: (609) 415-1875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1730752015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janet Gibson — Owner · (609) 515-4759
NPI enumeratedJuly 23, 2021
Last updated in NPPESOctober 1, 2026
Certification dateOctober 1, 2026
Mailing address4728 Jenn Dr Ste 102, Myrtle Beach, SC 29577-5714

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