Organization
GRAND STRAND SURGICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALI FAILE (VP HCA PHYSICIAN SERVICES)
(843) 497-6348
Entity
Organization
Contact information
Practice address
849 82ND PKWY, MYRTLE BEACH, SC 29572-4614
(843) 497-6348
(843) 497-6351
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
04/29/2008
Last updated
01/29/2020
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