Provider Demographics
NPI:1194700179
Name:FOLEY, STEVEN A (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:FOLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6507 N KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29572-3010
Mailing Address - Country:US
Mailing Address - Phone:843-692-9494
Mailing Address - Fax:843-692-7474
Practice Address - Street 1:6507 N KINGS HWY
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29572-3010
Practice Address - Country:US
Practice Address - Phone:843-692-9494
Practice Address - Fax:843-692-7474
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42372207VG0400X
IN01033871A207VG0400X
SCMD34150207VG0400X
MI4301507027207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC801524Medicare PIN
COD46976Medicare UPIN