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Organization

STRAND REGIONAL SPECIALTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM SMITH (ADMINISTRATOR)
(843) 692-2167
Entity
Organization

Contact information

Practice address
4000 HIGHWAY 9 E, SUITE 215, LITTLE RIVER, SC 29566-7833
(843) 390-0033
(843) 390-0038
Mailing address
PO BOX 100523, FLORENCE, SC 29501-0523
(843) 669-5162
(843) 667-4573

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
261QR0200X
Radiology Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1819815
PA
01
5599938
GHI
NY
05
790167K
NC
05
GP2760
SC
Enumeration date
07/16/2006
Last updated
04/20/2008
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