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1053393876

NPI Code Detail

MEDICARE: STRAND PHYSICIAN SPECIALISTS, PA

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	207R00000X	Internal Medicine Physician
2	208VP0014X	Interventional Pain Medicine Physician	24072	SC
3	363AM0700X	Medical Physician Assistant
4	291U00000X	Clinical Medical Laboratory
5	207Y00000X	Otolaryngology Physician
6	363A00000X	Physician Assistant
7	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	6974750001	OTHER	SC	MEDICARE DME
4	CC5611	OTHER	SC	RAILROAD MEDICARE PIN

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053393876
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	:	4591 SOCASTEE BLVD
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29588-7209
Country	:	US
Telephone Number	:	843-497-5929
Fax Number	:	843-293-1115

Authorized Official
Title or Position	:	HUMAN RESOURCES MANAGER
Name	:	TARA BROWN
Credential	:
Telephone Number	:	843-497-5929

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	12/18/2025

Similar Medicare Providers

1902803224 — ZAUNDRA E. JONES M.D.
Practice Location Address:

4591 SOCASTEE BLVD
MYRTLE BEACH, SC
29588-7209

Practice Phone: 843-497-5929
Practice Fax: 843-293-1115

1295733012 — ERIC R SENN M.D.
Practice Location Address:

4591 SOCASTEE BLVD
MYRTLE BEACH, SC
29588-7209

Practice Phone: 843-497-5929
Practice Fax: 877-301-6205

1932108230 — JOSEPH J DAVEY M.D.
Practice Location Address:

4591 SOCASTEE BLVD
MYRTLE BEACH, SC
29588-7209

Practice Phone: 843-497-5929
Practice Fax: 843-293-1115

1083676266 — ROBERT ADAM GOLDSTEEN DO
Practice Location Address:

4591 SOCASTEE BLVD
MYRTLE BEACH, SC
29588-7209

Practice Phone: 843-497-5929
Practice Fax: 866-778-9611

1487610382 — DR. SHEREE D NWANEGWO M.D.
Practice Location Address:

4591 SOCASTEE BLVD
MYRTLE BEACH, SC
29588-7209

Practice Phone: 843-497-5929
Practice Fax: 877-301-6205

1023061900 — DR. EDWIN LEE MCCAMPBELL M.D.
Practice Location Address:

4591 SOCASTEE BLVD
MYRTLE BEACH, SC
29588-7209

Practice Phone: 843-497-5929
Practice Fax: 866-778-9611

Directions to “STRAND PHYSICIAN SPECIALISTS, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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