| North Strand Ultra Sound Vascular & Vein Center | |
|
710 Main Street N Myrtle Beach SC 29582 | |
| (843) 249-1101 | |
| (843) 249-1198 |
| Full Name | North Strand Ultra Sound Vascular & Vein Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 710 Main Street, N Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Debbie J Durham (ADMINISTRATOR) |
| Authorized Official Contact | 8432491101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Strand Ultra Sound Vascular & Vein Center Po Box 407 N Myrtle Beach SC 29582 Ph: (843) 249-1101 | North Strand Ultra Sound Vascular & Vein Center 710 Main Street N Myrtle Beach SC 29582 Ph: (843) 249-1101 |
| NPI Number | 1396703914 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 09/04/2007 |
| Medicare PECOS PAC ID | 2567401813 |
|---|---|
| Medicare Enrollment ID | O20050427000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396703914 | NPI | - | NPPES |
| SL0073 | Medicaid | SC | |
| 8105019 | Medicaid | NC | |
| 8977458 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |