Organization · Type 2 NPI

Coastal Grand Obgyn PC

Specialist · Myrtle Beach, SC

NPI number 1083777486 Active

Practice location

1021 Medical Cir, Suite 250
Myrtle Beach, SC 29572-4619

Call (843) 421-8200 Map

Fax (843) 839-3634

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X222100 (SC)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083777486

Coastal Grand Obgyn PC's National Provider Identifier is 1083777486, issued on Dec 18, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Feb 13, 2008.