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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
1363AM0700XMedical Physician Assistant
2291U00000XClinical Medical Laboratory
3207RG0300XGeriatric Medicine (Internal Medicine) Physician
4363LF0000XFamily Nurse Practitioner
5207R00000XInternal Medicine Physician
6363L00000XNurse Practitioner
7207Y00000XOtolaryngology Physician
8363A00000XPhysician Assistant
9207Q00000XFamily Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CC5611OTHERSCRAILROAD MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548242365
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 : 3361 HIGHWAY 9 E
Second Line :
City : LITTLE RIVER
State : SC
Zip : 29566-7826
Country : US
Telephone Number : 843-497-5929
Fax Number : 843-399-0123
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

1336145226 — SCOTT A HOLLINGSWORTH M.D.
Practice Location Address:
3361 HIGHWAY 9 E
LITTLE RIVER, SC
29566-7826
Practice Phone: 843-497-5929
Practice Fax: 843-399-0123
1184622607 — DR. RUTH MARIE WIELAND MD
Practice Location Address:
3361 HIGHWAY 9 E
LITTLE RIVER, SC
29566-7826
Practice Phone: 843-497-5929
Practice Fax: 866-778-9613
1457350886 — APRIL L. BLUE M.D.
Practice Location Address:
3361 HIGHWAY 9 E
LITTLE RIVER, SC
29566-7826
Practice Phone: 843-497-5929
Practice Fax: 843-399-0123
1467443606 — DR. LISA E MOUNT MD
Practice Location Address:
3361 HIGHWAY 9 E
LITTLE RIVER, SC
29566-7826
Practice Phone: 843-497-5929
Practice Fax: 866-778-9612
1568433225 — DR. SALVATORE A. ZIENO M.D.
Practice Location Address:
3361 HIGHWAY 9 E
LITTLE RIVER, SC
29566-7826
Practice Phone: 843-497-5929
Practice Fax: 866-778-9612
1457327918 — MRS. DEBRA K JOYNER PA C
Practice Location Address:
3361 HIGHWAY 9 E
LITTLE RIVER, SC
29566-7826
Practice Phone: 843-497-5929
Practice Fax: 866-778-9612

Directions to “STRAND PHYSICIAN SPECIALISTS, PA ” Practice Location

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