Coastal Wellness Center, Llc in Myrtle Beach - Primary Care
Coastal Wellness Center, Llc - NPI 1902077266
Coastal Wellness Center, Llc is a Primary Care in Myrtle Beach, South Carolina. Coastal Wellness Center, Llc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Coastal Wellness Center, Llc is 1902077266. The last update date is 2019-03-06.
Coastal Wellness Center, Llc's current location address is 4955 Highway 17 Byp S, Myrtle Beach, South Carolina. You can contact this provider via phone number 8884032444 and fax number 8558182168. The mailing address for Coastal Wellness Center, Llc is 4955 Highway 17 Byp S, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Wellness Center, Llc |
|---|---|
| Address | 4955 Highway 17 Byp S, Myrtle Beach, South Carolina |
| Phone Number | 8884032444 |
| Fax Number | 8558182168 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Congdon Francis Gerald |
| Credentials | M.D. |
| Telephone Number | 8884671117 |
NPI Number Detail
| NPI Number | 1902077266 |
|---|---|
| Provider Enumeration Date | 2008-03-14 |
| Last Updated Date | 2019-03-06 |
Provider Mailing Address Detail
| Address | 4955 Highway 17 Byp S |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295776684 |
| Phone Number | 8884032444 |
| Fax Number | 8558182168 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP7038 | SC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Coastal Wellness Center, Llc by the Centers for Medicare & Medicaid Services?
The Coastal Wellness Center, Llc has been issued the NPI (National Provider Identifier) 1902077266. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Coastal Wellness Center, Llc?
The Coastal Wellness Center, Llc is physically situated at 4955 Highway 17 Byp S, in the city of Myrtle Beach, state of SC, with the postal code 295776684.
What is Coastal Wellness Center, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Coastal Wellness Center, Llc is Primary Care, and the taxonomy code that categorizes this field of expertise is 261Qp2300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902077266 to Coastal Wellness Center, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1902077266 to Coastal Wellness Center, Llc on 2008-03-14.
As of what date were the details related to Coastal Wellness Center, Llc most recently updated or revised?
The information pertaining to Coastal Wellness Center, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2019-03-06.