| Sandra Valentine, NP | |
| 
					1714 Highway 17 S, North Myrtle Beach, SC 29582-4041  | |
| (843) 361-0705 | |
| (843) 361-4045 | 
| Full Name | Sandra Valentine | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 1714 Highway 17 S, North Myrtle Beach, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386671121 | NPI | - | NPPES | 
| 1386671121 | Medicaid | VA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024164056 (Virginia) | Secondary | 
| 363L00000X | Nurse Practitioner | 843-361-4045 (South Carolina) | Primary | 
| Entity Name | Fair Oaks Hospitalist Physicians, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1275601205 PECOS PAC ID: 1052419868 Enrollment ID: O20070601000279  | 
| Entity Name | Emergency Medicine Associates, P.a.,p.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20070919000389  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sandra Valentine, NP Po Box 749306, Atlanta, GA 30374-9306 Ph: () -  | Sandra Valentine, NP 1714 Highway 17 S, North Myrtle Beach, SC 29582-4041 Ph: (843) 361-0705  | 
Roman Koryakin, FNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3816 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-272-1411  | |
Alice Ruth Carter, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1714 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-361-0705 Fax: 843-361-4045  | |
Sandra Lee Payne, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-249-1451  | |
Ms. Stacey Lynn Shaw, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2423 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-919-0700 Fax: 843-919-0727  | |
Mrs. Tisha Michelle Brown, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 866-389-2727  | |
Mrs. Barbie Suggs Anderson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1714 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-361-0705  | |
Tracey Michelle Lewis, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2021 N Myrtle Point Blvd Ste 102, North Myrtle Beach, SC 29582 Phone: 843-366-3060 Fax: 843-366-3069  |