Coastal Carolina Otolaryngology Associates,Pa

LBN: Coastal Carolina Otolaryngology Associates,Pa
Coastal Carolina Otolaryngology Associates,Pa is an health care organization with primary practice located at 3822 Mayfair St , Myrtle Beach SC 29577-0912. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is the primary health care specialty. Coastal Carolina Otolaryngology Associates,Pa can be contacted via phone (843) 449-6449, or through Rosner, Daniel L via phone (843) 449-6449.

Contact Information

Primary practice address
3822 Mayfair St Myrtle Beach SC 29577-0912
Phone: (843) 449-6449
Fax: (843) 449-1069
Website:
Map and Directions
Authorized official contact:
Name: Rosner, Daniel L Doctor of Medicine (MD)
Phone: (843) 449-6449

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X

Profile Details

NPI number 1497717086
LBN Legal business name Coastal Carolina Otolaryngology Associates,Pa
DBA Doing business as
Authorized official Rosner, Daniel L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2006
Last updated Jan 4th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497717086 NPPES
South Carolina MEDICAID GP0566

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