Brian J Roberts MD
Brian J Roberts MD is a Non-Pharmacy Dispensing Site in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.
- Licensed in
- SC
- In the registry since
- 2006
Practice location Address checks out
823 82nd PkwyMyrtle Beach, SC 29572-4607
Phone: (843) 449-1010
Fax: (843) 497-6171
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Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence 20257 (SC) |
|---|
Record details
| NPI number | 1225199094 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chris Richardson — Exec Dir · (843) 449-1010 |
| Other names | Grand Stand Urology Llp |
| NPI enumerated | December 13, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
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