COASTAL CAROLINA PRIMARY CARE, LLC

MYRTLE BEACH, SC
NPI1821257676
Entity TypeOrganization
Authorized ContactWILLIAM TEDRICK JOHNSON
Vice President
615-372-3375
Organization Subpart ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
Additional Taxonomies207V00000X Obstetrics & Gynecology
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date2008-06-06
Last Update Date2021-12-29
Business Address
COASTAL CAROLINA PRIMARY CARE, LLC
920 DOUG WHITE DR STE 250
MYRTLE BEACH, SC 29572-4181
Phone number: 843-236-1950
Mailing Address
COASTAL CAROLINA PRIMARY CARE, LLC
2000 HEALTH PARK DR
BRENTWOOD, TN 37027-4692
Phone number: 615-372-5426