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

Coastal Carolina Infectious Disease, LLC

Organization Infectious Disease Physician · NPI 1265898191

Coastal Carolina Infectious Disease, LLC is an Infectious Disease Physician in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2016.

Licensed in
SC
In the registry since
2016
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

1110 London St Ste 102
Myrtle Beach, SC 29577
Phone: (843) 668-2376
Fax: (843) 748-0613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X (SC)

Record details

NPI number1265898191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marlene Thornhill — Billing Manager · (843) 668-2376
NPI enumeratedJanuary 7, 2016
Last updated in NPPESMay 17, 2018
Mailing address1110 London St Ste 102, Myrtle Beach, SC 29577-5799

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