| Strand Regional Specialty | |
|
8170 Rourk St Myrtle Beach SC 29572-4127 | |
| (843) 449-2336 | |
| (843) 497-2505 |
| Full Name | Strand Regional Specialty |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 8170 Rourk St, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Sonja Willis (INSURANCE SPECIALIST) |
| Authorized Official Contact | 8436922149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Strand Regional Specialty Po Box 70399 Myrtle Beach SC 29572-0025 Ph: (843) 449-2336 | Strand Regional Specialty 8170 Rourk St Myrtle Beach SC 29572-4127 Ph: (843) 449-2336 |
| NPI Number | 1033178934 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 07/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033178934 | NPI | - | NPPES |
| 5599938 | Other | NY | GHI |
| 790167K | Medicaid | NC | |
| 1819815 | Medicaid | PA | |
| GP1523 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QR0200X | Clinic/center - Radiology | (* (Not Available)) | Secondary |
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