Individual ProviderMina GuirguisStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address809 82nd Pkwy, Myrtle Beach, SC 29572-4607(843) 692-3497(203) 819-3274PECOS EnrollmentBased on the most recent information from CMS, provider Mina Guirguis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 11:05 AM.Profile DetailsProvider ID1184373573Provider TypeIndividualFull NameGuirguis, MinaCredentialMDGenderMaleSole ProprietorYesEnumeration Date3/22/2022Last Updated3/22/2022Contact InformationPractice LocationPractice Address809 82nd Pkwy, Myrtle Beach, SC 29572-4607Phone(843) 692-3497FaxUnlisted FaxMailing LocationMailing Address29 Crestview Dr, Watertown, CT 06795-1814Phone(203) 819-3274FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer