Healthcare Provider Details

I. General information

NPI: 1538229448
Provider Name (Legal Business Name): STRAND PSYCHIATRIC ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 03/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 NEWCASTLE LOOP
MYRTLE BEACH SC
29588-4502
US

IV. Provider business mailing address

3025 NEWCASTLE LOOP
MYRTLE BEACH SC
29588-4502
US

V. Phone/Fax

Practice location:
  • Phone: 843-215-2400
  • Fax: 843-215-2444
Mailing address:
  • Phone: 843-215-2400
  • Fax: 843-215-2444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MURRAY GLENN HONICK
Title or Position: PRESIDENT
Credential: M.D.
Phone: 843-215-2400