MEDICARE: STRAND PHYSICIAN SPECIALISTS, PA

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	291U00000X	Clinical Medical Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972736528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRAND PHYSICIAN SPECIALISTS, PA

Provider Business Mailing Address
First Line	:	PO BOX 3439
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-0439
Country	:	US
Telephone Number	:	843-839-4447
Fax Number	:

Provider Business Practice Location Address
First Line	:	5023 CAROLINA FOREST BLVD
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-3578
Country	:	US
Telephone Number	:	843-497-5929
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	ERIK OTT
Credential	:
Telephone Number	:	843-497-5929

Provider Enumeration Date	:	08/31/2009
Last Update Date	:	12/23/2025

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