COASTAL FAMILY MEDICINE

CONWAY, SC
NPI1548459597
Entity TypeOrganization
Authorized ContactJONATHAN L DIETER
Owner
843-347-7224
Organization Subpart ?No
Primary Taxonomy173000000X Legal Medicine
(Licence: SC  MD 7055)
Enumeration Date2007-10-16
Last Update Date2007-10-17
Business Address
COASTAL FAMILY MEDICINE
8014 MYRTLE TRACE DR
CONWAY, SC 29526-8945
Phone number: 843-347-7224
Mailing Address
COASTAL FAMILY MEDICINE
8014 MYRTLE TRACE DR
CONWAY, SC 29526-8945
Phone number: 843-347-7224
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