Organization · Type 2 NPI
Coastal Carolina Otolaryngology Associates,pa
Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Myrtle Beach, SC
Practice location
3822 Mayfair St
Myrtle Beach, SC 29577-0912
Fax (843) 449-1069
Other practice locations
- 1120 Glenns Bay Rd Ste 117, Surfside Beach, SC 29575-4757 · (843) 215-1068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | None listed |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary | 207YX0007X | None listed |
Plastic Surgery within the Head & Neck (Otolaryngology) Physician: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeri…
4 other providers at this address
About NPI 1497717086
Coastal Carolina Otolaryngology Associates,pa's National Provider Identifier is 1497717086, issued on Apr 6, 2006. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in Myrtle Beach, SC. The record was last updated on Sep 10, 2026.