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
1	207R00000X	Internal Medicine Physician
2	363AM0700X	Medical Physician Assistant
3	2471C3401X	Computed Tomography Radiologic Technologist
4	291U00000X	Clinical Medical Laboratory
5	363LF0000X	Family Nurse Practitioner
6	363L00000X	Nurse Practitioner
7	2085U0001X	Diagnostic Ultrasound Physician
8	363A00000X	Physician Assistant
9	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1689360307
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	:	843-497-5929
Fax Number	:

Provider Business Practice Location Address
First Line	:	5023 CAROLINA FOREST BLVD
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579
Country	:	US
Telephone Number	:	843-497-5929
Fax Number	:

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

Provider Enumeration Date	:	04/14/2023
Last Update Date	:	12/19/2025

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