Grand Strand Urology

LBN: Grand Strand Urology
Grand Strand Urology is an health care organization with primary practice located at 823 82Nd Pkwy , Myrtle Beach SC 29572-4607. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Grand Strand Urology can be contacted via phone (843) 449-1010, or through Richardson, Chris B via phone (843) 449-1010.

Contact Information

Primary practice address
823 82Nd Pkwy Myrtle Beach SC 29572-4607
Phone: (843) 449-1010
Fax: (843) 497-6171
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Chris B
Phone: (843) 449-1010

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1922099126
LBN Legal business name Grand Strand Urology
DBA Doing business as
Authorized official Richardson, Chris B
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1922099126 NPPES
South Carolina MEDICAID GP1418

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