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Grand Strand Urology
Specialist in Myrtle Beach, South Carolina
NPI 1922099126

Grand Strand Urology is a Specialist based in Myrtle Beach, SC. Grand Strand Urology practices in Myrtle Beach, SC. The NPI Number for Grand Strand Urology is 1922099126 and holds a License No. (South Carolina).

The current practice location address for Grand Strand Urology is 823 82Nd Pkwy, Myrtle Beach, SC and can be reached out via phone at 843-449-1010 and via fax at 843-497-6171.

Location: 823 82Nd Pkwy, Myrtle Beach, SC, 29572-4607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922099126
Provider Name
Grand Strand Urology
Credential
Provider Entity Type
Organization
Address
823 82Nd Pkwy, Myrtle Beach, SC, 29572-4607
Phone Number
843-449-1010
Fax Number
843-497-6171
Provider Enumeration Date
11/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP1418 05 SC
institution
Provider Business Practice Location Address Details
Address
823 82Nd Pkwy
City
Myrtle Beach
State
South Carolina
Zip
29572-4607
Phone Number
843-449-1010
Fax Number
843-497-6171
person
Provider Business Mailing Address Details
Address
823 82Nd Pkwy
City
Myrtle Beach
State
South Carolina
Zip
29572-4607
Phone Number
843-449-1010
Fax Number
843-497-6171
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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