Grand Strand Pediatrics & Adolescent Medicine, PA
Grand Strand Pediatrics & Adolescent Medicine, PA is a Pediatric Adolescent Medicine Physician in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.
- Licensed in
- SC
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8120 Rourk StMyrtle Beach, SC 29572-4127
Phone: (843) 449-1438
Fax: (843) 286-1349
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X · Licence 7085 (SC) |
|---|
Record details
| NPI number | 1588614192 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Petrusick — Owner/Physician · (843) 449-1438 |
| NPI enumerated | May 12, 2006 |
| Last updated in NPPES | February 25, 2014 |
| Mailing address | 8120 Rourk St, Myrtle Beach, SC 29572-4127 |
Other providers in Myrtle Beach
-
Dr. Penelope Anne Campbell, MD
4022 Postal Way Ste C, Myrtle Beach, SC 29579-3537 · (843) 903-4111
-
Dr. Frederick William Daniels, MD
8120 Rourk St, Myrtle Beach, SC 29572-4127 · (843) 449-1438