Provider First Line Business Practice Location Address:
GRAND STRAND MEDICAL CENTER
Provider Second Line Business Practice Location Address:
809 82ND PARKWAY
Provider Business Practice Location Address City Name:
MYRTLE BEACH
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29572
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-848-4640
Provider Business Practice Location Address Fax Number:
843-839-2382
Provider Enumeration Date:
04/08/2025