Coastal Family Medicine
Coastal Family Medicine is a Legal Medicine in Conway, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.
- Licensed in
- SC
- In the registry since
- 2007
Practice location Address checks out
8014 Myrtle Trace DrConway, SC 29526-8945
Phone: (843) 347-7224
Fax: (843) 347-7335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Legal Medicine (primary) | Taxonomy 173000000X · Licence MD 7055 (SC) |
|---|
Record details
| NPI number | 1548459597 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jonathan Dieter — Owner · (843) 347-7224 |
| NPI enumerated | October 16, 2007 |
| Last updated in NPPES | October 17, 2007 |
| Mailing address | 8014 Myrtle Trace Dr, Conway, SC 29526-8945 |
Other providers in Conway
-
Conway Pediatrics, PA
907 Bell St, Conway, SC 29526-4113 · (843) 248-2727