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NPI Code Detail

MEDICARE: STRAND GI ASSOCIATES PA

MEDICARE: STRAND GI ASSOCIATES 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
1207L00000XAnesthesiology Physician
2207RG0100XGastroenterology Physician

General Provider Information

NPI Number : 1700864519
Entity Type Code : Organization
Provider Name (Legal Business Name) : STRAND GI ASSOCIATES PA
Provider Business Mailing Address
First Line : 7900 N KINGS HWY
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29572-3055
Country : US
Telephone Number : 843-449-3381
Fax Number : 843-449-9721
Provider Business Practice Location Address
First Line : 7900 N KINGS HWY
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29572-3055
Country : US
Telephone Number : 843-449-3381
Fax Number : 843-449-9721
Authorized Official
Title or Position : PRESIDENT
Name : GARY A VUKOV
Credential : MD
Telephone Number : 843-449-3381
Provider Enumeration Date : 01/03/2006
Last Update Date : 06/01/2020

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Directions to “STRAND GI ASSOCIATES PA ” Practice Location

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