Organization Name: | STRAND REGIONAL SPECIALTY |
NPI Number: | 1033178934 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SONJA WILLIS (INSURANCE SPECIALIST) |
Mailing Address: | 8170 Rourk St Myrtle Beach |
State: | SC US |
Postal Code: | 295724127 |
Phone Number: | 8434492336 |
Fax Number: | 8434972505 |
NPI Enumeration Date: | 03/20/2006 |
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: |