Organization · Type 2 NPI

Coastal Carolina Ent, Do, PA

Facial Plastic Surgery Physician · Little River, SC

NPI number 1386989028 Active

About NPI 1386989028

Coastal Carolina Ent, Do, PA's National Provider Identifier is 1386989028, issued on Dec 6, 2012. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Little River, SC. The record was last updated on Jun 17, 2024.