# ADVANCED MEDICAL SOLUTION 1 LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174188502
- **Authorized official:** JACK DWYER SCOTT DC (OWNER)
- **Authorized official phone:** (843) 742-7922

## Contact information

- **Practice address:** 4016 RIVER OAKS DRIVE, MYRTLE BEACH, SC 29579-8487
- **Practice address phone:** (843) 742-7922
- **Practice address fax:** (843) 796-1492
- **Mailing address:** 4016 RIVER OAKS DRIVE, MYRTLE BEACH, SC 29579-8487
- **Mailing address phone:** (843) 742-7922
- **Mailing address fax:** (843) 796-1492

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 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