institution
Coastal Carolina Ent, Do, Pa
Facial Plastic Surgery Physician in Little River, South Carolina
NPI 1386989028

Coastal Carolina Ent, Do, Pa is a Facial Plastic Surgery Physician based in Whiteville, SC and is specialized in Facial Plastic Surgery. Coastal Carolina Ent, Do, Pa practices in Little River, SC. The NPI Number for Coastal Carolina Ent, Do, Pa is 1386989028 and holds a License No. DO 1480 (South Carolina).

The current practice location address for Coastal Carolina Ent, Do, Pa is 3806 Sawtell Rd, Little River, SC and can be reached out via phone at 843-663-9090 and via fax at 843-663-9091.

Location: 3806 Sawtell Rd, Little River, SC, 28472-3714
institution
Provider Profile Details
NPI Number
1386989028
Provider Name
Coastal Carolina Ent, Do, Pa
Credential
Provider Entity Type
Organization
Address
3806 Sawtell Rd, Little River, SC, 28472-3714
Phone Number
843-663-9090
Fax Number
843-663-9091
Provider Enumeration Date
12/06/2012
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1689757007 01 NC NC NPI
1386989028 01 SC NPI
institution
Provider Business Practice Location Address Details
Address
3806 Sawtell Rd
City
State
Zip
29566-7873
Phone Number
843-663-9090
Fax Number
843-663-9091
person
Provider Business Mailing Address Details
Address
3806 Sawtell Rd
City
State
Zip
29566-7873
Phone Number
843-663-9090
Fax Number
843-663-9091
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
License No.
DO 1480 (South Carolina)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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