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Organization
GRAND STRAND SPECIALTY ASSOCIATES, LLC
Active
Organization
GRAND STRAND SPECIALTY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE WINNEY (VICE PRESIDENT OF OPERATIONS)
(843) 856-7924
Entity
Organization
Contact information
Practice address
8170 ROURK ST, MYRTLE BEACH, SC 29572-4127
(843) 449-2336
Mailing address
8170 ROURK ST, MYRTLE BEACH, SC 29572-4127
(843) 449-2336
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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