Organization · Type 2 NPI
Coastal Cancer Center LLC
Hematology & Oncology Physician · Conway, SC
Practice location
817 Farrar Dr
Conway, SC 29526-8747
Fax (843) 692-5015
Mailing address
8121 Rourk St
Myrtle Beach, SC 29572-4128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hematology & Oncology Physician Primary | 207RH0003X | 11181 (SC) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
3 other providers at this address
Other hematology & oncology physician providers in Conway
About NPI 1063432391
Coastal Cancer Center LLC's National Provider Identifier is 1063432391, issued on Jul 20, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Conway, SC. The record was last updated on Sep 2, 2025.