Basic Information
| Provider Information | |||||||||
| NPI: | 1528563269 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ADLER | ||||||||
| FirstName: | HANNAH | ||||||||
| MiddleName: | KEELY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | GRAND STRAND MEDICAL CENTER/809 82ND PARKWAY | ||||||||
| Address2: | GME OFFICE | ||||||||
| City: | MYRTLE BEACH | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295725315 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8432361950 | ||||||||
| FaxNumber: | 8432361952 | ||||||||
| Practice Location | |||||||||
| Address1: | GRAND STRAND MEDICAL CENTER/809 82ND PARKWAY | ||||||||
| Address2: | GME OFFICE | ||||||||
| City: | MYRTLE BEACH | ||||||||
| State: | SC | ||||||||
| PostalCode: | 29572 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8432361950 | ||||||||
| FaxNumber: | 8432361952 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2018 | ||||||||
| LastUpdateDate: | 07/02/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207R00000X | LL52499 | SC | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.