Coastal Carolina Otoloryngology Assoc Pa

NPI Provider: 1497717086
Contact Name: Rosnem L Daniel
Position: Vice President
Phone: (843) 449-6445

Coastal Carolina Otoloryngology Assoc Pa Information:

Coastal Carolina Otoloryngology Assoc Pa organization have npi 1497717086, taxonomy code is 207Y00000X with license number is in . This Business address located in 915 Medical Circle, Myrtle Beach, SC 29572 South Carolina.

Practice Location
Address: 915 Medical Circle, Myrtle Beach, SC 29572
Phone: (843) 449-6449

Business Location
Address: 915 Medical Circle, Myrtle Beach, SC 29572
Phone: (843) 449-6449
Fax: (843) 449-1069

Taxonomy

Taxonomy Code: 207Y00000X

License Number:

License Number of State:

Primary Taxonomy Switch: X

Enumeration Date: 4/6/2006

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