Organization
STRAND GASTROINTESTINAL ENDOSCOPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELENA STOUT (BUSINESS MANAGER)
(843) 492-2751
Entity
Organization
Contact information
Practice address
7900 N KINGS HWY STE B, MYRTLE BEACH, SC 29572-3055
(843) 839-2581
(843) 839-2585
Mailing address
7900 N KINGS HWY STE B, MYRTLE BEACH, SC 29572-3055
(843) 839-2581
(843) 839-2585
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF062
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC033
—
SC
Enumeration date
07/08/2006
Last updated
12/10/2020
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