Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRAND STRAND PEDIATRICS & ADOLESCENT MEDICINE, P.A.
Active OrganizationGRAND STRAND PEDIATRICS & ADOLESCENT MEDICINE, P.A. is a Adolescent Medicine (Pediatrics) organization located in MYRTLE BEACH, South Carolina. NPI 1588614192 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1588614192
- Provider Type
- Organization
- NPI Issued
- May 12, 2006 (20.286863020023 yrs)
- Last Updated
- Feb 25, 2014
- License
-
7085 (SC)
Practice Information
- Address
-
8120 ROURK STMYRTLE BEACH, SC, 295724127Browse SC providers · Browse ZIP 29572
- Phone
- 8434491438
- Fax
- 8432861349
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.