BRIAN J ROBERTS MD

MYRTLE BEACH, SC
NPI1225199094
Doing Business AsGRAND STAND UROLOGY LLP
Entity TypeOrganization
Authorized ContactCHRIS RICHARDSON
Exec Dir
843-449-1010
Organization Subpart ?No
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
(Licence: SC  20257)
Enumeration Date2006-12-13
Last Update Date2020-08-22
Business Address
BRIAN J ROBERTS MD
823 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: 843-449-1010
Mailing Address
BRIAN J ROBERTS MD
823 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: