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

Coastal Grand OBGYN PC

Organization Specialist · NPI 1083777486

Coastal Grand OBGYN PC is a Specialist in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1021 Medical Cir Ste 250
Myrtle Beach, SC 29572-4619
Phone: (843) 421-8200
Fax: (843) 839-3634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 222100 (SC)

Record details

NPI number1083777486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Spielvogel — Owner/M.D. · (843) 421-8200
NPI enumeratedDecember 18, 2006
Last updated in NPPESFebruary 13, 2008
Mailing address1021 Medical Cir, Suite 250, Myrtle Beach, SC 29572-4619

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