Coastal Carolina Cosmetic Facial Surgery

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1972081941

Coastal Carolina Cosmetic Facial Surgery is an Oral and Maxillofacial Surgery Clinic/Center in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in: SC
In the registry since: 2018

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Practice location Address checks out

133 Towne Centre Pkwy
Myrtle Beach, SC 29579-3493
Phone: (843) 448-1621

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

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary)	Taxonomy 261QS0112X · Licence 8911 (SC)

Record details

NPI number	1972081941
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Michael Johnson — Managing Member · (720) 201-5801
NPI enumerated	August 1, 2018
Last updated in NPPES	December 10, 2019
Certification date	December 10, 2019
Mailing address	6210 N Ocean Blvd, Myrtle Beach, SC 29572-3300