| Grand Strand Senior Health Center, Llc | |
|
5046 Highway 17 Byp S Suite 100 Myrtle Beach SC 29588-4503 | |
| (843) 839-6192 | |
| (843) 839-6164 |
| Full Name | Grand Strand Senior Health Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5046 Highway 17 Byp S, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Patrick Birmingham (DIRECTOR) |
| Authorized Official Contact | 6153737625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Strand Senior Health Center, Llc 5046 Highway 17 Byp S Suite 100 Myrtle Beach SC 29588-4503 Ph: (843) 839-6192 | Grand Strand Senior Health Center, Llc 5046 Highway 17 Byp S Suite 100 Myrtle Beach SC 29588-4503 Ph: (843) 839-6192 |
| NPI Number | 1649269085 |
|---|---|
| Provider Enumeration Date | 10/18/2005 |
| Last Update Date | 01/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649269085 | NPI | - | NPPES |
| GP3814 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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