Coastal Carolinas Integrated Medicine PA
Coastal Carolinas Integrated Medicine PA is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Supply, North Carolina. Works from 2 locations. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10 Doctors Cir Ste 2Supply, NC 28462-4089
Phone: (910) 755-6060
Fax: (910) 939-1659
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 416 Main St, North Myrtle Beach, SC 29582-3024 — (910) 755-6060
Specialties & licences
| Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081P2900X · Licence 36621 (NC) |
|---|
Record details
| NPI number | 1649304239 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Willeford — Owner · (910) 755-6060 |
| NPI enumerated | March 15, 2007 |
| Last updated in NPPES | July 9, 2025 |
| Certification date | July 9, 2025 |
| Mailing address | 10 Doctors Cir, Suite 2, Supply, NC 28462-4089 |