Organization
STRAND LUNG CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LEIBMAN BSE (OFFICE MANAGER)
(843) 449-5864
Entity
Organization
Contact information
Practice address
SUITE C 1304 48TH AVE, MYRTLE BEACH, SC 29577-5427
(843) 449-5864
(843) 692-3012
Mailing address
P O BOX 7637, MYRTLE BEACH, SC 29572-0015
(843) 449-5864
(843) 692-3012
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
21961
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T61769
—
SC
Enumeration date
04/19/2006
Last updated
10/11/2007
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