MEDICARE: DR. GREER EDDINS PT,DPT

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	225100000X	Physical Therapist	11989	SC

General Provider Information

NPI Number	:	1407703432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREER EDDINS PT,DPT

Provider Business Mailing Address
First Line	:	3620 WALTON DR UNIT C5
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-6782
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3620 WALTON DR UNIT C5
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-6782
Country	:	US
Telephone Number	:	843-353-3460
Fax Number	:

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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