Organization
STRAND REGIONAL SPECIALTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONJA WILLIS (INSURANCE SPECIALIST)
(843) 692-2149
Entity
Organization
Contact information
Practice address
2376 CYPRESS CIR, SUITE 200, CONWAY, SC 29526-8964
(843) 234-1710
(843) 234-1715
Mailing address
PO BOX 70399, MYRTLE BEACH, SC 29572-0025
(843) 692-2149
(843) 497-2505
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1819815
—
PA
01
—
5599938
GHI
NY
05
—
790167K
—
NC
05
—
GP2761
—
SC
Enumeration date
07/16/2006
Last updated
07/21/2010
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