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Contact Information

COASTAL CAROLINA OTOLARYNGOLOGY ASSOCIATES,PA
3822 MAYFAIR ST
MYRTLE BEACH, SC29577-0912
 Phone: 843-449-6449
 Fax: 843-449-1069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for COASTAL CAROLINA OTOLARYNGOLOGY ASSOCIATES,PA

NPI Number 1497717086
LBN Legal business name COASTAL CAROLINA OTOLARYNGOLOGY ASSOCIATES,PA
Authorized official DANIEL ROSNER - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/06/2006
Last updated 08/26/2025 - About 9 months ago
Identifiers
SC Medicaid GP0566
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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