Grand Stand Urology Llp

LBN: Brian J Roberts Md
Grand Stand Urology Llp 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 Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Brian J Roberts Md can be contacted via phone (843) 449-1010, or through Richardson, Chris 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
Phone: (843) 449-1010

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 20257 South Carolina

Profile Details

NPI number 1225199094
LBN Legal business name Brian J Roberts Md
DBA Doing business as Grand Stand Urology Llp
Authorized official Richardson, Chris
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1225199094 NPPES
South Carolina MEDICAID GP1418
South Carolina Other 4226216

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