COASTAL CAROLINA ENT, DO, PA
Organization (NPI-2)
Active
Otolaryngology, Facial Plastic Surgery
Provider Information
- NPI Number
1386989028- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3806 SAWTELL RD, LITTLE RIVER, SC, 295667873
- Phone
- (843) 663-9090
- Fax
- (843) 663-9091
Specialties & Taxonomies
Otolaryngology, Facial Plastic Surgery
Primary License: SC #DO 1480