| Ssi Admin, Llc | |
|
1945 Glenns Bay Rd Suite B Surfside Beach SC 29575-4833 | |
| (843) 650-4006 | |
| (843) 650-4019 |
| Full Name | Ssi Admin, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1945 Glenns Bay Rd, Surfside Beach, South Carolina |
| Authorized Official Name and Position | Brian K Adler (OWNER) |
| Authorized Official Contact | 8436504006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssi Admin, Llc 1945 Glenns Bay Rd Suite B Surfside Beach SC 29575-4833 Ph: (843) 650-4006 | Ssi Admin, Llc 1945 Glenns Bay Rd Suite B Surfside Beach SC 29575-4833 Ph: (843) 650-4006 |
| NPI Number | 1740643683 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 03/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740643683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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