Grand Strand Gynecology in Myrtle Beach - Specialist
Grand Strand Gynecology - NPI 1578623039
Grand Strand Gynecology is a Specialist in Myrtle Beach, South Carolina. Grand Strand Gynecology practices all healthcare services and medical treatments related to Specialist. The NPI Number for Grand Strand Gynecology is 1578623039. The last update date is 2010-08-12.
Grand Strand Gynecology's current location address is 4728 Jenn Dr, Myrtle Beach, South Carolina. You can contact this provider via phone number 8434495553 and fax number 8434494453. The mailing address for Grand Strand Gynecology is 4728 Jenn Dr, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand Strand Gynecology |
|---|---|
| Address | 4728 Jenn Dr, Myrtle Beach, South Carolina |
| Phone Number | 8434495553 |
| Fax Number | 8434494453 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Martin J. Benjamin |
| Credentials | M.D. |
| Telephone Number | 8434495553 |
NPI Number Detail
| NPI Number | 1578623039 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2010-08-12 |
Provider Mailing Address Detail
| Address | 4728 Jenn Dr |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295775714 |
| Phone Number | 8434495553 |
| Fax Number | 8434494453 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA4575 | SC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Grand Strand Gynecology by the Centers for Medicare & Medicaid Services?
The Grand Strand Gynecology has been issued the NPI (National Provider Identifier) 1578623039. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Grand Strand Gynecology's facilities are situated?
The facilities of Grand Strand Gynecology are physically located at the following address: 4728 Jenn Dr, Myrtle Beach, SC, 295775714.
What is Grand Strand Gynecology's area of expertise and its corresponding taxonomy classification?
The Grand Strand Gynecology's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1578623039 assigned to Grand Strand Gynecology?
The Grand Strand Gynecology was issued its 1578623039 on 2006-12-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Grand Strand Gynecology, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Grand Strand Gynecology, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-08-12.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA