MEDICARE: MRS. LORI A GAUMOND PTA

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	208100000X	Physical Medicine & Rehabilitation Physician	1131	SC

General Provider Information

NPI Number	:	1588601744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LORI A GAUMOND PTA

Provider Business Mailing Address
First Line	:	8161 ROURK ST
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29572-4128
Country	:	US
Telephone Number	:	843-449-3685
Fax Number	:	843-449-2746

Provider Business Practice Location Address
First Line	:	8161 ROURK ST
Second Line	:	STRAND THERAPY INC
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29572-4128
Country	:	US
Telephone Number	:	843-449-3685
Fax Number	:	843-449-2746

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

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	01/12/2010

Similar Medicare Providers

1679566178 — RENWICK N GOLDBERG MD
Practice Location Address:

8121 ROURK ST
MYRTLE BEACH, SC
29572-4128

Practice Phone: 843-692-5000
Practice Fax: 843-692-5015

1265425763 — REBECCA DIANE CODY MD
Practice Location Address:

8121 ROURK ST
MYRTLE BEACH, SC
29572-4128

Practice Phone: 843-692-5000
Practice Fax: 843-692-5015

1972596484 — VIJAY PAUDEL MD
Practice Location Address:

8121 ROURK ST
MYRTLE BEACH, SC
29572-4128

Practice Phone: 843-692-5000
Practice Fax: 843-692-5015

1871587634 — LAWRENCE B HOLT JR. MD FACP
Practice Location Address:

8121 ROURK ST
MYRTLE BEACH, SC
29572-4128

Practice Phone: 843-692-5000
Practice Fax: 843-692-5015

1710948716 — COASTAL PODIATRY ASSOCIATES PA
Practice Location Address:

8141 ROURK ST
MYRTLE BEACH, SC
29572-4128

Practice Phone: 843-449-8079
Practice Fax: 843-497-6147

1225075484 — MRS. MARY MARGARET HENIFORD RPT
Practice Location Address:

8161 ROURK ST , STRAND THERAPY INC
MYRTLE BEACH, SC
29572-4128

Practice Phone: 843-449-3685
Practice Fax: 843-449-2746

Directions to “ MRS. LORI A GAUMOND PTA” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.