MEDICARE: DR. ADRIAN LEE STRAND M.D.

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	207Q00000X	Family Medicine Physician	A100472	CA
2	208600000X	Surgery Physician	A100472	CA
3	207Q00000X	Family Medicine Physician	40226	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ15686Z	OTHER	CA	MEDICARE GROUP

General Provider Information

NPI Number	:	1053502948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADRIAN LEE STRAND M.D.

Provider Business Mailing Address
First Line	:	PO BOX 602108
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-2108
Country	:	US
Telephone Number	:	843-792-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	8992 UNIVERSITY BLVD
Second Line	:	STE 300
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-8104
Country	:	US
Telephone Number	:	843-876-5555
Fax Number	:	831-728-8266

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2007
Last Update Date	:	10/14/2020

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