Organization Name: | STRAND REGIONAL SPECIALTY |
NPI Number: | 1023052354 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SONJA WILLIS (INSURANCE SPECIALIST) |
Mailing Address: | 4367 Riverwood Dr Suite 120 Murrells Inlet |
State: | SC US |
Postal Code: | 295764368 |
Phone Number: | 8433578008 |
Fax Number: | 8433573819 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 07/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |