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Organization

GRAND STRAND SPECIALTY ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAYNE WINNEY (VICE PRESIDENT OF OPERATIONS)
(843) 856-7924
Entity
Organization

Contact information

Practice address
8170 ROURK ST, MYRTLE BEACH, SC 29572-4127
(843) 449-2336
Mailing address
8170 ROURK ST, MYRTLE BEACH, SC 29572-4127
(843) 449-2336

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2084N0400X
Neurology Physician

Other

Enumeration date
10/27/2010
Last updated
10/27/2010
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