BEACHSIDE CLINIC INC NPI 1154665644

NPI Information

BEACHSIDE CLINIC INC is a prosthetic orthotic supplier in Myrtle Beach, SC. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. BEACHSIDE CLINIC INC NPI is 1154665644. The provider is registered as an organization entity type.

The provider's business location address is:

931 MEDICAL CIR
MYRTLE BEACH, SC
ZIP 29572-122
Phone: (843) 877-5224

The provider's authorized official is Bradley C Hornick .
The authorized official title is Owner and has the following contact phone number (842) 877-5224.

The enumeration date for this NPI number is 11/21/2012 and was last updated on 11/21/2012.

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:

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