Provider Demographics
NPI:1710572961
Name:ADVANCED MEDICAL SOLUTIONS II, LLC
Entity Type:Organization
Organization Name:ADVANCED MEDICAL SOLUTIONS II, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:DWYER
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-742-7922
Mailing Address - Street 1:4016 RIVER OAKS DR STE 4
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-6673
Mailing Address - Country:US
Mailing Address - Phone:843-742-7922
Mailing Address - Fax:943-492-5927
Practice Address - Street 1:4016 RIVER OAKS DR STE 4
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-6673
Practice Address - Country:US
Practice Address - Phone:843-742-7922
Practice Address - Fax:943-492-5927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty