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SOUTH STRAND CARDIOLOGY LLC NPI 1144209628


NPI Information

NPI: 1144209628
Provider Name: SOUTH STRAND CARDIOLOGY LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 42D0962257

Address:
207 CHARTWELL CT
MYRTLE BEACH, SC
ZIP 29588
Phone: (843) 293-2700
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SOUTH STRAND CARDIOLOGY LLC is a specialist in Myrtle Beach, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTH STRAND CARDIOLOGY LLC NPI is 1144209628. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

207 CHARTWELL CT
MYRTLE BEACH, SC
ZIP 29588-999
Phone: (843) 293-2700
Fax: (843) 293-4960

The provider's authorized official is Erol Lale .
The authorized official title is Owner and has the following contact phone number (843) 293-2700.

The CLIA number assigned to this NPI record is 42D0962257 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/12/2006 and was last updated on 10/11/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist26572SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H22057MEDICARE UPINSOUTH CAROLINA
27829MEDICARE PINSOUTH CAROLINA
3GP3828MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.