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1154665644
BEACHSIDE CLINIC INC
MYRTLE BEACH, SC
NPI
1154665644
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Entity Type
Organization
Authorized Contact
BRADLEY C HORNICK
Owner
842-877-5224
Organization Subpart ?
No
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2012-11-21
Last Update Date
2012-11-21
Business Address
BEACHSIDE CLINIC INC
931 MEDICAL CIR
MYRTLE BEACH, SC 29572-4122
Phone number: 843-877-5224
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Mailing Address
BEACHSIDE CLINIC INC
931 MEDICAL CIR
MYRTLE BEACH, SC 29572-4122
Phone number: 843-877-5224
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