| South Strand Internists Pa | |
|
5046 Highway 17 Byp S Ste 205 Myrtle Beach SC 29588-4503 | |
| (843) 314-1357 | |
| (854) 212-7381 |
| Full Name | South Strand Internists Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5046 Highway 17 Byp S Ste 205, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Brian Keith Adler (OWNER) |
| Authorized Official Contact | 8433141357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Strand Internists Pa Po Box 2128 Pawleys Island SC 29585-2128 Ph: (854) 223-4831 | South Strand Internists Pa 5046 Highway 17 Byp S Ste 205 Myrtle Beach SC 29588-4503 Ph: (843) 314-1357 |
| NPI Number | 1548359201 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/27/2025 |
| Medicare PECOS PAC ID | 6204832975 |
|---|---|
| Medicare Enrollment ID | O20061020000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548359201 | NPI | - | NPPES |
| GP0439 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11949 (South Carolina) | Primary |
| Provider Name | Joseph V Vandergriff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659474658 PECOS PAC ID: 3072514041 Enrollment ID: I20070118000473 |
| Provider Name | Brian Keith Adler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801810007 PECOS PAC ID: 1557367224 Enrollment ID: I20111214000508 |
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