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

Coastal Cancer Center LLC

Organization Hematology & Oncology Physician · NPI 1205856556

Coastal Cancer Center LLC is a Hematology & Oncology Physician in Loris, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3008 Bayboro St
Loris, SC 29569-2714
Phone: (843) 756-0932
Fax: (843) 692-5015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 11181 (SC)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1205856556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vijay Paudel — Partner · (843) 692-5000
Other names Coastal Cancer Center
NPI enumeratedJuly 20, 2006
Last updated in NPPESSeptember 2, 2025
Certification dateFebruary 17, 2025
Mailing address8121 Rourk St, Myrtle Beach, SC 29572-4128