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

Coastal Carolina ENT, DO, PA

Organization Facial Plastic Surgery Physician · NPI 1386989028

Coastal Carolina ENT, DO, PA is a Facial Plastic Surgery Physician in Little River, South Carolina. Licensed in South Carolina. Registered with an NPI since 2012.

Licensed in
SC
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3806 Sawtell Rd
Little River, SC 29566-7873
Phone: (843) 663-9090
Fax: (843) 663-9091
Show map & directions

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

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence DO 1480 (SC)

Record details

NPI number1386989028
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCoastal Carolina ENT, DO, PA
Authorized official Wendy Paris — Insurance/Billing Specialist · (910) 914-0540
NPI enumeratedDecember 6, 2012
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address302 Liberty St, Whiteville, NC 28472-3714

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