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

Coastal Carolina OB GYN LLC

Organization Obstetrics & Gynecology Physician · NPI 1134167158

Coastal Carolina OB GYN LLC is an Obstetrics & Gynecology Physician in Conway, 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.

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Practice location Address checks out

620 Singleton Ridge Rd
Conway, SC 29526-9154
Phone: (843) 349-0100
Fax: (843) 349-0104
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 115921 (SC)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 23311 (SC)

Record details

NPI number1134167158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Whitestone — Insurance Billing Clerk · (843) 349-0100
NPI enumeratedJune 2, 2006
Last updated in NPPESMarch 10, 2015
Mailing addressPo Box 50754, Myrtle Beach, SC 29579

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