Pediatrics, Adolescent Medicine
GRAND STRAND PEDIATRICS & ADOLESCENT MEDICINE, P.A.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1588614192 · enumerated 2006-05-12 · record updated 2014-02-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. THOMAS PETRUSICK MD, Owner/Physician · (843) 449-1438
Addresses and phones
- Mailing address 8120 ROURK ST, MYRTLE BEACH, SC, 29572-4127 (843) 449-1438 Fax (843) 286-1349 Google Maps Apple Maps OpenStreetMap
- Practice location 8120 ROURK ST, MYRTLE BEACH, SC, 29572-4127 (843) 449-1438 Fax (843) 286-1349 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics, Adolescent Medicine 2080A0000X · Primary · License 7085 SC
In this directory
SC Horry County Myrtle Beach Pediatrics, Adolescent Medicine
Locations and evidence
-
Practice location
MYRTLE BEACH, SC, 295724127
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.