OrganizationActive
Beachside Clinic Inc
NPI 1154665644 · Prosthetic/Orthotic Supplier · Myrtle Beach, SC
Provider details
- NPI number
- 1154665644
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Bradley Hornick, Owner(842) 877-5224
Specialties & taxonomies
Suppliers
Practice location
931 Medical Cir
Myrtle Beach, SC 29572-4122
Phone: (843) 877-5224
Approximate (ZIP-level) locationGet directions
Mailing address
931 Medical Cir
Myrtle Beach, SC 29572-4122
Registry dates
- Enumerated
- 2012-11-21
- Last updated
- 2012-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.