Grand Strand Pediatrics & Adolescent Medicine, P.A.

LBN: Grand Strand Pediatrics & Adolescent Medicine, P.A.
Grand Strand Pediatrics & Adolescent Medicine, P.A. is an health care organization with primary practice located at 8120 Rourk St , Myrtle Beach SC 29572-4127. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Grand Strand Pediatrics & Adolescent Medicine, P.A. can be contacted via phone (843) 449-1438, or through Petrusick, Thomas W via phone (843) 449-1438.

Contact Information

Primary practice address
8120 Rourk St Myrtle Beach SC 29572-4127
Phone: (843) 449-1438
Fax: (843) 286-1349
Website:
Map and Directions
Authorized official contact:
Name: Petrusick, Thomas W Doctor of Medicine (MD)
Phone: (843) 449-1438

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 7085 South Carolina

Profile Details

NPI number 1588614192
LBN Legal business name Grand Strand Pediatrics & Adolescent Medicine, P.A.
DBA Doing business as
Authorized official Petrusick, Thomas W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Feb 25th, 2014 - about 11 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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