Organization
CAROLINA REGIONAL SURGERY CENTER. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GREGORY SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
1021 MEDICAL CIR, SUITE 100, MYRTLE BEACH, SC 29572-4618
(843) 449-7885
(843) 497-5137
Mailing address
1021 MEDICAL CIR, SUITE 100, MYRTLE BEACH, SC 29572-4618
(843) 449-7885
(843) 497-5137
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF069
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410148
—
SC
Enumeration date
04/10/2006
Last updated
02/15/2018
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