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Organization

GRAND STRAND MOBILE WOUND CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY HATHWAY PA-C (OWNER)
(617) 959-4427
Entity
Organization

Contact information

Practice address
1297 PROFESSIONAL DR STE 201, MYRTLE BEACH, SC 29577-5713
(803) 999-6863
(855) 834-3003
Mailing address
580 STARLIT WAY, MYRTLE BEACH, SC 29579-4322
(803) 999-6863
(855) 834-3003

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
02/06/2025
Last updated
02/06/2025
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