Healthcare Provider Details

I. General information

NPI: 1275442600
Provider Name (Legal Business Name): GRAND STRAND REGIONAL MEDICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4716 HIGHWAY 17
MURRELLS INLET SC
29576-5056
US

IV. Provider business mailing address

4716 HIGHWAY 17
MURRELLS INLET SC
29576-5056
US

V. Phone/Fax

Practice location:
  • Phone: 843-947-6201
  • Fax:
Mailing address:
  • Phone: 843-947-6201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARK EDWARD SIMS
Title or Position: CEO
Credential:
Phone: 843-692-1000