Edward L Proctor Jr. (NPI# 1316917362, PAC ID# 9638363286) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1316917362 |
| PAC ID by PECOS | 9638363286 |
| Professional Enrollment ID | I20101028000244 |
| Full Name | Edward L Proctor Jr. |
| Organization Legal Name | STRAND GI ASSOCIATES PA |
| Address |
945 82nd Pkwy Suite 3 Myrtle Beach SC 29572-4612 |
| Phone Number | 8434493381 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 2163413717 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| 420049 | CONWAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 8434496521 | INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC |
| 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4612 | 8434493381 | STRAND GI ASSOCIATES PA |
| Organization Legal Name | STRAND GI ASSOCIATES PA |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Arthur Vukov | Gastroenterology | Strand Gi Associates Pa | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4612 |
| Kathleen Marie Raynor | Gastroenterology | Strand Gi Associates Pa | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4612 |
| Timothy Cornnell | Gastroenterology | Strand Gi Associates Pa | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4612 |
| Andrew Pearson | Gastroenterology | Strand Gi Associates Pa | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4612 |
| Scott D Allen | Certified Registered Nurse Anesthetist (crna) | Strand Gi Associates Pa | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4612 |
| Kara M Matthews | Nurse Practitioner | Strand Gi Associates Pa | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4612 |
| Jose Carlos Hernandez | Internal Medicine | Strand Gi Associates Pa | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4612 |
| Bernadette Lee Harrold | Certified Registered Nurse Anesthetist (crna) | Strand Gi Associates Pa | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4612 |
| John Michael Edmison | Gastroenterology | Strand Gi Associates Pa | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4612 |
| Christian S Jefferies | Certified Registered Nurse Anesthetist (crna) | Strand Gi Associates Pa | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4612 |
| Street Address |
945 82ND PKWY SUITE 3 |
| City | MYRTLE BEACH |
| State | SC |
| Zip | 29572-4612 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Arthur Vukov | Gastroenterology | Strand Gi Associates Pa | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4612 |
| Jocelyn A Myers | Endocrinology | Strand Physician Specialists Pa | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 |
| Kathleen Marie Raynor | Gastroenterology | Strand Gi Associates Pa | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4612 |
| Timothy Cornnell | Gastroenterology | Strand Gi Associates Pa | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4612 |
| David Lazar | Rheumatology | Strand Physician Specialists Pa | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 |
| Andrew Pearson | Gastroenterology | Strand Gi Associates Pa | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4612 |
| William E Prenatt | Family Medicine | Strand Physician Specialists Pa | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 |
| Douglas Conaway | Rheumatology | Strand Physician Specialists Pa | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 |
| Chad Roger Huberty | Family Medicine | Strand Physician Specialists Pa | 945 82nd Pkwy, Myrtle Beach, SC 29572-4612 |
| Scott D Allen | Certified Registered Nurse Anesthetist (crna) | Strand Gi Associates Pa | 945 82nd Pkwy, Suite 3, Myrtle Beach, SC 29572-4612 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Staples | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Paul Vojtek | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Stephen Swygert Ford | Physical Therapy | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Kara Houston | Physical Medicine and Rehabilitation | Benchmark Healthcare Services LLC | 7955 N Kings Hwy, Suite 330, Myrtle Beach, SC 29572-3056 |
| Steven Goodman | Chiropractic | 9612n Kings Hwy, Myrtle Beach, SC 29572-4006 | |
| Barbie Suggs Anderson | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Emily Pond Wright | Nurse Practitioner | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Stephen Gordon Remine | General Surgery | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Richard G Snyder | General Practice | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Bleselda G Paragas | Physician Assistant | Beach Urgent Care | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 |
| Find all physicians in zip 29572 | |||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
| Specialty | PATHOLOGY |
| City + Specialty | MYRTLE BEACH + PATHOLOGY |
Please comment or provide details below to improve the information on Edward L Proctor Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.