Healthcare Provider Details
I. General information
NPI: 1831414135
Provider Name (Legal Business Name): STRAND PHYSICIAN SPECIALISTS, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/30/2010
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
809 82ND PARKWAY
MYRTLE BEACH SC
29572
US
IV. Provider business mailing address
PO BOX 3439
NORTH MYRTLE BEACH SC
29582-0439
US
V. Phone/Fax
- Phone: 843-497-5929
- Fax: 843-839-1037
- Phone: 843-839-4447
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LC0200X |
| Taxonomy | Critical Care Medicine Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TARA
BROWN
Title or Position: HUMAN RESOURCES MANAGER
Credential:
Phone: 843-497-5929