Coastal Grande Ob-Gyn,Llc

LBN: Coastal Grande Ob-Gyn,Llc
Coastal Grande Ob-Gyn,Llc is an health care organization with primary practice located at 1021 Cipriana Drive Suite 250, Myrtle Beach SC 29572-4619. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Coastal Grande Ob-Gyn,Llc can be contacted via phone (843) 421-8200, or through Spielvogel, Kenneth via phone (843) 421-8200.

Contact Information

Primary practice address
1021 Cipriana Drive Suite 250 Myrtle Beach SC 29572-4619
Phone: (843) 421-8200
Fax: (843) 839-3634
Website:
Map and Directions
Authorized official contact:
Name: Spielvogel, Kenneth Doctor of Medicine (MD)
Phone: (843) 421-8200

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X South Carolina

Profile Details

NPI number 1811935463
LBN Legal business name Coastal Grande Ob-Gyn,Llc
DBA Doing business as
Authorized official Spielvogel, Kenneth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Jul 21st, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811935463 NPPES
South Carolina MEDICAID GP4188

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