# NORTH STRAND ULTRA SOUND VASCULAR & VEIN CENTER

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

## Provider details

- **NPI number:** 1396703914
- **Authorized official:** DEBBIE J DURHAM ARRT (ADMINISTRATOR)
- **Authorized official phone:** (843) 249-1101

## Contact information

- **Practice address:** 710 MAIN STREET, N MYRTLE BEACH, SC 29582
- **Practice address phone:** (843) 249-1101
- **Practice address fax:** (843) 249-1198
- **Mailing address:** PO BOX 407, N MYRTLE BEACH, SC 29582
- **Mailing address phone:** (843) 249-1101
- **Mailing address fax:** (843) 249-1198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 09/04/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8105019 | — | NC |
| 05 | — | 8977458 | — | NC |
| 05 | — | SL0073 | — | SC |