Provider First Line Business Practice Location Address:
GRAND STRAND PEDIATRICS
Provider Second Line Business Practice Location Address:
1120 GLENNS BAY ROAD
Provider Business Practice Location Address City Name:
SURFSIDE BEACH
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29575
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-449-1438
Provider Business Practice Location Address Fax Number:
843-286-1349
Provider Enumeration Date:
10/28/2020