Organization · Type 2 NPI

Coastal Grande Ob-Gyn,llc

Specialist · Myrtle Beach, SC

NPI number 1811935463 Active

Practice location

1021 Cipriana Drive, Suite 250
Myrtle Beach, SC 29572-4619

Call (843) 421-8200 Map

Fax (843) 839-3634

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1811935463

Coastal Grande Ob-Gyn,llc's National Provider Identifier is 1811935463, issued on Jun 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jul 21, 2011.