Organization · Type 2 NPI

Coastal Cancer Center LLC

Hematology & Oncology Physician · Myrtle Beach, SC

NPI number 1881614170 Active

Practice location

8121 Rourk St
Myrtle Beach, SC 29572-4128

Fax (843) 692-5015

Other practice locations

  • 4708 Oleander Dr, Myrtle Beach, SC 29577-5742 · (843) 449-9415
  • 8059 Myrtle Trace Dr, Conway, SC 29526-8946 · (843) 692-5000
  • 4600 Wild Iris Dr, Myrtle Beach, SC 29577 · (843) 449-9415

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed
Radiation Oncology Physician 2085R0001XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

19 other providers at this address

About NPI 1881614170

Coastal Cancer Center LLC's National Provider Identifier is 1881614170, issued on Jul 20, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Myrtle Beach, SC. The record was last updated on Sep 8, 2025.