Individual ProviderTaylor LocklearStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressGrand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572(843) 692-1595PECOS EnrollmentBased on the most recent information from CMS, provider Taylor Locklear is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1598347387Provider TypeIndividualFull NameLocklear, TaylorCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/22/2021Last Updated4/22/2021Contact InformationPractice LocationPractice AddressGrand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572Phone(843) 692-1595Fax(843) 692-1112Mailing LocationMailing AddressGrand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572Phone(843) 692-1595Fax(843) 692-1112Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer