Coastal Grand Obgyn PC
NPI #1083777486 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1083777486
- Entity Type
- Organization
- Organization Name
- Coastal Grand Obgyn PC
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Feb 13, 2008
Practice Location
- Address
- 1021 MEDICAL CIR
- Address 2
- SUITE 250
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29572-4619
- Phone
- (843) 421-8200
Authorized Official
- Name
- DR. KENNETH SPIELVOGEL, M.D.
- Title
- OWNER/M.D.
- Phone
- (843) 421-8200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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