Provider Demographics
NPI:1619933868
Name:NORTH STRAND OB/GYN, P.C.
Entity Type:Organization
Organization Name:NORTH STRAND OB/GYN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCCAULEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-756-7090
Mailing Address - Street 1:3617 CASEY ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:LORIS
Mailing Address - State:SC
Mailing Address - Zip Code:29569-2981
Mailing Address - Country:US
Mailing Address - Phone:843-756-7090
Mailing Address - Fax:843-756-0043
Practice Address - Street 1:3617 CASEY ST
Practice Address - Street 2:SUITE A
Practice Address - City:LORIS
Practice Address - State:SC
Practice Address - Zip Code:29569-2981
Practice Address - Country:US
Practice Address - Phone:843-756-7090
Practice Address - Fax:843-756-0043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17358207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPC6524Medicaid
SC2618Medicare ID - Type UnspecifiedGROUP NUMBER