Provider First Line Business Practice Location Address:
241 SINGLETON RIDGE ROAD
Provider Second Line Business Practice Location Address:
SUITE A BEACH MEDICAL SPECIALISTS PA
Provider Business Practice Location Address City Name:
CONWAY
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-347-8887
Provider Business Practice Location Address Fax Number:
843-347-8889
Provider Enumeration Date:
08/07/2006