COASTAL GRAND OBGYN PC

MYRTLE BEACH, SC
NPI1083777486
Entity TypeOrganization
Authorized ContactKENNETH SPIELVOGEL
Owner/M.D.
843-421-8200
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: SC  222100)
Enumeration Date2006-12-18
Last Update Date2008-02-13
Business Address
COASTAL GRAND OBGYN PC
1021 MEDICAL CIR SUITE 250
MYRTLE BEACH, SC 29572-4619
Phone number: 843-421-8200
Mailing Address
COASTAL GRAND OBGYN PC
1021 MEDICAL CIR SUITE 250
MYRTLE BEACH, SC 29572-4619
Phone number: 843-421-8200