Coastal Carolina Primary Care, Llc in Myrtle Beach - Obstetrics & Gynecology

Coastal Carolina Primary Care, Llc - NPI 1821257676

Coastal Carolina Primary Care, Llc is a Obstetrics & Gynecology in Myrtle Beach, South Carolina. Coastal Carolina Primary Care, Llc practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Coastal Carolina Primary Care, Llc is 1821257676. The last update date is 2021-12-29.

Coastal Carolina Primary Care, Llc's current location address is 920 Doug White Dr Ste 250, Myrtle Beach, South Carolina. You can contact this provider via phone number 8432361950. The mailing address for Coastal Carolina Primary Care, Llc is 920 Doug White Dr Ste 250, Myrtle Beach, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Coastal Carolina Primary Care, Llc
Address 920 Doug White Dr Ste 250, Myrtle Beach, South Carolina
Phone Number 8432361950
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Johnson Tedrick William
Telephone Number 6153723375

NPI Number Detail

NPI Number 1821257676
Provider Enumeration Date 2008-06-06
Last Updated Date 2021-12-29

Provider Mailing Address Detail

Address 920 Doug White Dr Ste 250
City Myrtle Beach
State South Carolina (SC)
Post Code 295724181
Phone Number 8432361950
Fax Number

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

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FAQs about Coastal Carolina Primary Care, Llc

What is the unique identifier code issued to Coastal Carolina Primary Care, Llc by the Centers for Medicare & Medicaid Services?

The Coastal Carolina Primary Care, Llc has been assigned the NPI (National Provider Identifier) 1821257676. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Coastal Carolina Primary Care, Llc's facilities are situated?

The facilities of Coastal Carolina Primary Care, Llc are physically located at the following address: 920 Doug White Dr Ste 250, Myrtle Beach, SC, 295724181.

What is Coastal Carolina Primary Care, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Coastal Carolina Primary Care, Llc is Obstetrics & Gynecology, and the taxonomy classification code that categorizes this area of expertise is 207V00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1821257676 to Coastal Carolina Primary Care, Llc?

The Centers for Medicare & Medicaid Services assigned the 1821257676 to Coastal Carolina Primary Care, Llc on 2008-06-06.

As of what date were the details related to Coastal Carolina Primary Care, Llc most recently updated or revised?

The information pertaining to Coastal Carolina Primary Care, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-29.

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