Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Anesthesia Medical Group, LLC

Organization Anesthesiology Physician · NPI 1609813179

Coastal Anesthesia Medical Group, LLC is an Anesthesiology Physician in Myrtle Beach, South Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

809 82nd Pkwy
Myrtle Beach, SC 29572-4607
Phone: (843) 692-1062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1609813179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Maggioncalda — Pres · (843) 692-1721
NPI enumeratedJune 1, 2006
Last updated in NPPESSeptember 13, 2007
Mailing addressPo Box 1792, Columbia, SC 29202-1792

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