Iasis Center

NPI #1225380702 in Myrtle Beach, South Carolina

Provider Information

NPI Number: 1225380702
Entity Type: Organization
Organization Name: Iasis Center
Primary Specialty: Specialist
Enumeration Date: Oct 9, 2012
Last Updated: Oct 9, 2012

Practice Location

Address: 514 ALDER ST
Address 2: SUITE 6
City: Myrtle Beach
State: South Carolina
ZIP Code: 29577-3854
Phone: (843) 902-4863

Authorized Official

Name: MRS. BETTY JEAN LAWRENCE
Title: OWNER
Phone: (843) 902-4863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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