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Organization
ADVANCED MEDICAL SOLUTION 1 LLC
Active
Organization
ADVANCED MEDICAL SOLUTION 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DWYER SCOTT DC (OWNER)
(843) 742-7922
Entity
Organization
Contact information
Practice address
4016 RIVER OAKS DRIVE, MYRTLE BEACH, SC 29579-8487
(843) 742-7922
(843) 796-1492
Mailing address
4016 RIVER OAKS DRIVE, MYRTLE BEACH, SC 29579-8487
(843) 742-7922
(843) 796-1492
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/01/2019
Last updated
10/16/2020
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