Organization · Type 2 NPI
Coastal Carolinas Integrated Medicine PA
Pain Medicine (Physical Medicine & Rehabilitation) Physician · Supply, NC
Practice location
10 Doctors Cir, Suite 2
Supply, NC 28462-4089
Fax (910) 939-1659
Other practice locations
- 416 Main St, North Myrtle Beach, SC 29582-3024 · (910) 755-6060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary | 2081P2900X | 36621 (NC) |
Pain Medicine (Physical Medicine & Rehabilitation) Physician: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
4 other providers at this address
- Novant Medical Group IncPediatrics Physician Supply, NC NPI 1972823615
- Novant Medical Group, Inc.Internal Medicine Physician Supply, NC NPI 1942599071
- Kenneth Lee Willeford, MDPhysical Medicine & Rehabilitation Physician Supply, NC NPI 1912917865
- Stephanie A. Reeves, LCSWAClinical Social Worker Supply, NC NPI 1760256895
About NPI 1649304239
Coastal Carolinas Integrated Medicine PA's National Provider Identifier is 1649304239, issued on Mar 15, 2007. The primary taxonomy on file is Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X), and the practice location is in Supply, NC. The record was last updated on Jul 9, 2025.