Organization
GRAND STRAND SENIOR HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK BIRMINGHAM (DIRECTOR)
(615) 373-7625
Entity
Organization
Contact information
Practice address
5046 HIGHWAY 17 BYP S, SUITE 100, MYRTLE BEACH, SC 29588-4503
(843) 839-6192
(843) 839-6164
Mailing address
5046 HIGHWAY 17 BYP S, SUITE 100, MYRTLE BEACH, SC 29588-4503
(843) 839-6192
(843) 839-6164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3814
—
SC
Enumeration date
10/18/2005
Last updated
01/23/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up