Provider Demographics
NPI:1003046889
Name:PAPATHANASIOU, VASILIKI (MD)
Entity Type:Individual
Prefix:MS
First Name:VASILIKI
Middle Name:
Last Name:PAPATHANASIOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:101 MCLEOD HEALTH BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-4477
Mailing Address - Country:US
Mailing Address - Phone:843-646-8001
Mailing Address - Fax:843-646-8002
Practice Address - Street 1:101 MCLEOD HEALTH BLVD STE 201
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579
Practice Address - Country:US
Practice Address - Phone:843-646-8001
Practice Address - Fax:843-646-8002
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT196080207Q00000X
NJ25MA09156100207Q00000X
SC61178207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine