Grand Strand Dermatology

LBN: Grand Strand Dermatology
Grand Strand Dermatology is an health care organization with primary practice located at 7410 Highway 707 , Myrtle Beach SC 29588-7304. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Grand Strand Dermatology can be contacted via phone (843) 215-1100, or through Jones, Nathan via phone (843) 215-1100.

Contact Information

Primary practice address
7410 Highway 707 Myrtle Beach SC 29588-7304
Phone: (843) 215-1100
Fax: (843) 215-1211
Website:
Map and Directions
Authorized official contact:
Name: Jones, Nathan Doctor of Medicine (MD)
Phone: (843) 215-1100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 17893 South Carolina

Profile Details

NPI number 1033160213
LBN Legal business name Grand Strand Dermatology
DBA Doing business as
Authorized official Jones, Nathan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2006
Last updated Oct 24th, 2023 - about last year

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 1033160213 NPPES
South Carolina MEDICAID 178952
South Carolina MEDICAID GP0495

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