Coastal Carolina Primary Care, Llc

LBN: Coastal Carolina Primary Care, Llc
Coastal Carolina Primary Care, Llc is an health care organization with primary practice located at 920 Doug White Dr Ste 250 , Myrtle Beach SC 29572-4181. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is the primary health care specialty. Coastal Carolina Primary Care, Llc can be contacted via phone (843) 236-1950, or through Johnson, William Tedrick via phone (615) 372-3375.

Contact Information

Primary practice address
920 Doug White Dr Ste 250 Myrtle Beach SC 29572-4181
Phone: (843) 236-1950
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, William Tedrick
Phone: (615) 372-3375

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1821257676
LBN Legal business name Coastal Carolina Primary Care, Llc
DBA Doing business as
Authorized official Johnson, William Tedrick
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2008
Last updated Dec 29th, 2021 - about 5 years ago

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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