NPI 1063400240 · live from the CMS NPI Registry
Iacob Marcovici, MD
Obstetrics & Gynecology in Myrtle Beach, SC. National Provider Identifier 1063400240, active.
NPI record
| NPI | 1063400240 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology 207V00000X |
| Practice location | 911 Medical Cir, Myrtle Beach, SC 29572 |
| Practice phone | 843-945-9990 |
| Enumerated | October 11, 2005 |
| Last updated | March 5, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology primary | 207V00000X | 35610 (SC) |
| Obstetrics & Gynecology, Gynecology | 207VG0400X | 35610 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.