Alexander Anetakis
Ophthalmologist
4600 Oleander Dr Retina Of Coastal Carolina
Myrtle Beach
, South Carolina 29577-5897
Alexander Anetakis
Ophthalmologist
4600 Oleander Dr Retina Of Coastal Carolina
Myrtle Beach
, South Carolina 29577-5897
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Alexander Anetakis
- 1801 New Hanover Medical Park Drive Retina Of Coastal Carolina
- Wilmington, NC
- Zip : 28403-5351
- Phone :
Second Address
- Alexander Anetakis
- 4600 Oleander Dr Retina Of Coastal Carolina
- Myrtle Beach, SC
- Zip : 29577-5897
- Phone : (910) 254-2023
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 28771 | SC |
National Provider Identifier
| NPI | 1003842220 |
|---|---|
| Provider Name | Alexander Anetakis |
| First Address | Wilmington, NC 28403-5351 |
| Second Address | Myrtle Beach, SC 29577-5897 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2006 |
| Last Update Date | 25/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I04828 | (02) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.