Most Relevant Information
Provider Data
| NPI Number: | 1003365859 |
| Provider Name: | NAKETA THOMAS M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 91896 |
Most Important Dates
| Enumeration Date: | 09/21/2016 |
| Last Updated: | 07/01/2024 |
Provider Practice Location
5023 CAROLINA FOREST BLVD
MYRTLE BEACH
SC
295793578
Practice Location Phone/Fax
| Phone: | 8434975929 |
| Fax: | 8334493251 |
Provider Mailing Location
PO BOX 3439
NORTH MYRTLE BEACH
SC
295820439
Provider Mailing Phone/Fax
| Phone: | 8434975929 |
| Fax: |
Suggested EMR
Family Practice EMR