Coastal Carolinas Integrated Medicine II
NPI #1255158788 in North Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1255158788
- Entity Type
- Organization
- Organization Name
- Coastal Carolinas Integrated Medicine II
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 25, 2024
- Last Updated
- Sep 25, 2024
Practice Location
- Address
- 416 MAIN ST
- State
- South Carolina
- ZIP Code
- 29582-3024
- Phone
- (843) 663-0933
Authorized Official
- Name
- LA BOMMIE SAUNDERS
- Title
- CREDENTIALING AND BILLING REP
- Phone
- (910) 616-5770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
| Nurse Practitioner - Family — Family |
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