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East Coast Retina, Pa
Clinic/Center in Myrtle Beach, South Carolina
NPI 1730138157

East Coast Retina, Pa is a Clinic/Center based in Myrtle Beach, SC. East Coast Retina, Pa practices in Myrtle Beach, SC. The NPI Number for East Coast Retina, Pa is 1730138157 and holds a License No. 26821 (South Carolina).

The current practice location address for East Coast Retina, Pa is 8609 Montague Ln, Myrtle Beach, SC and can be reached out via phone at 843-215-3363 and via fax at 843-215-7201. You can also correspond with East Coast Retina, Pa through the mailing address at 8609 MONTAGUE LN, MYRTLE BEACH, SC - 29588-4504 (mailing address contact number: 843-215-3363).

Location: 8609 Montague Ln, Myrtle Beach, SC, 29588-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730138157
Provider Name
East Coast Retina, Pa
Credential
Provider Entity Type
Organization
Address
8609 Montague Ln, Myrtle Beach, SC, 29588-4504
Phone Number
843-215-3363
Fax Number
843-215-7201
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP4339 05 SC
institution
Provider Business Practice Location Address Details
Address
8609 Montague Ln
City
Myrtle Beach
State
South Carolina
Zip
29588-4504
Phone Number
843-215-3363
Fax Number
843-215-7201
person
Provider Business Mailing Address Details
Address
8609 Montague Ln
City
Myrtle Beach
State
South Carolina
Zip
29588-4504
Phone Number
843-215-3363
Fax Number
843-215-7201
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
26821 (South Carolina)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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