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Coastal Grand Obgyn Pc
Specialist in Myrtle Beach, South Carolina
NPI 1083777486

Coastal Grand Obgyn Pc is a Specialist based in Myrtle Beach, SC. Coastal Grand Obgyn Pc practices in Myrtle Beach, SC. The NPI Number for Coastal Grand Obgyn Pc is 1083777486 and holds a License No. 222100 (South Carolina).

The current practice location address for Coastal Grand Obgyn Pc is 1021 Medical Cir, Myrtle Beach, SC and can be reached out via phone at 843-421-8200 and via fax at 843-839-3634.

Location: 1021 Medical Cir, Myrtle Beach, SC, 29572-4619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083777486
Provider Name
Coastal Grand Obgyn Pc
Credential
Provider Entity Type
Organization
Address
1021 Medical Cir, Myrtle Beach, SC, 29572-4619
Phone Number
843-421-8200
Fax Number
843-839-3634
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP4188 05 SC
institution
Provider Business Practice Location Address Details
Address
1021 Medical Cir
City
Myrtle Beach
State
South Carolina
Zip
29572-4619
Phone Number
843-421-8200
Fax Number
843-839-3634
person
Provider Business Mailing Address Details
Address
1021 Medical Cir
City
Myrtle Beach
State
South Carolina
Zip
29572-4619
Phone Number
843-421-8200
Fax Number
843-839-3634
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
222100 (South Carolina)
Definition
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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