Provider Demographics
NPI:1063875839
Name:SELECT SENIOR MEDICINE, LLC
Entity type:Organization
Organization Name:SELECT SENIOR MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:MURK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-906-5534
Mailing Address - Street 1:3022 S MORGANS PT RD
Mailing Address - Street 2:SUITE 261
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-7189
Mailing Address - Country:US
Mailing Address - Phone:843-906-5534
Mailing Address - Fax:
Practice Address - Street 1:3022 S MORGANS PT RD
Practice Address - Street 2:SUITE 261
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-7189
Practice Address - Country:US
Practice Address - Phone:843-906-5534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty