Organization
SSI ADMIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN K ADLER MD (OWNER)
(843) 650-4006
Entity
Organization
Contact information
Practice address
1945 GLENNS BAY RD, SUITE B, SURFSIDE BEACH, SC 29575-4833
(843) 650-4006
(843) 650-4019
Mailing address
1945 GLENNS BAY RD, SUITE B, SURFSIDE BEACH, SC 29575-4833
(843) 650-4006
(843) 650-4019
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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