MEDICARE: WILLIAM Z MYERS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	MD-12851	HI
2	363A00000X	Physician Assistant
3	390200000X	Student in an Organized Health Care Education/Training Program
4	363A00000X	Physician Assistant	4235	SC

General Provider Information

NPI Number	:	1235788753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM Z MYERS PA-C

Provider Business Mailing Address
First Line	:	4736 HIGHWAY 17 BYP S
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29588-5616
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MIDDLEBURG DR
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-3408
Country	:	US
Telephone Number	:	843-903-6650
Fax Number	:	843-903-0758

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2019
Last Update Date	:	07/06/2025

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