Organization · Type 2 NPI
Carolina Coastal Family Medicine PA
Primary Care Clinic/Center · Myrtle Beach, SC
NPI number
1881905032
Active
Practice location
1275 21st Ave N, Building 2
Myrtle Beach, SC 29577-7429
Fax (843) 626-9206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 22830 (SC) |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1881905032
Carolina Coastal Family Medicine PA's National Provider Identifier is 1881905032, issued on Jun 23, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jun 23, 2010.