Waccamaw Dermatology, Llc

LBN: Waccamaw Dermatology, Llc
Waccamaw Dermatology, Llc is an health care organization with primary practice located at 917 Medical Circle , Myrtle Beach SC 29572. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Waccamaw Dermatology, Llc can be contacted via phone (843) 449-0453, or through Coakley, Brandon J. via phone (843) 449-0453.

Contact Information

Primary practice address
917 Medical Circle Myrtle Beach SC 29572
Phone: (843) 449-0453
Fax: (843) 282-1910
Website:
Map and Directions
Authorized official contact:
Name: Coakley, Brandon J. Doctor of Medicine (MD)
Phone: (843) 449-0453

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1962449181
LBN Legal business name Waccamaw Dermatology, Llc
DBA Doing business as
Authorized official Coakley, Brandon J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Mar 22nd, 2022 - about 4 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 1962449181 NPPES
South Carolina MEDICAID GP1554

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