Grand Strand Gynecology

LBN: Grand Strand Gynecology
Grand Strand Gynecology is an health care organization with primary practice located at 911 Medical Cir , Myrtle Beach SC 29572-4116. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Grand Strand Gynecology can be contacted via phone (843) 449-5553, or through Martin, Benjamin J. via phone (843) 449-5553.

Contact Information

Primary practice address
911 Medical Cir Myrtle Beach SC 29572-4116
Phone: (843) 449-5553
Fax: (843) 449-4453
Website:
Map and Directions
Authorized official contact:
Name: Martin, Benjamin J. Doctor of Medicine (MD)
Phone: (843) 449-5553

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1578623039
LBN Legal business name Grand Strand Gynecology
DBA Doing business as
Authorized official Martin, Benjamin J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Aug 12th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578623039 NPPES
South Carolina MEDICAID PA4575

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