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

Coastal Carolina University

Organization Clinic/Center · NPI 1710136908

Coastal Carolina University is a Clinic/Center in Conway, South Carolina. Licensed in South Carolina. Registered with an NPI since 2008.

Licensed in
SC
In the registry since
2008

Practice location Address checks out

204 University Blvd
Conway, SC 29526-8834
Phone: (843) 649-6543
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 3684 (SC)

Record details

NPI number1710136908
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Michael — Nirse Practitioner · (843) 349-6543
NPI enumeratedSeptember 12, 2008
Last updated in NPPESSeptember 12, 2008
Mailing address204 University Blvd, Conway, SC 29526-8834