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

Coastal Med Spa, LLC

Organization Public Health & General Preventive Medicine Physician · NPI 1134090582

Coastal Med Spa, LLC is a Public Health & General Preventive Medicine Physician in Myrtle Beach, South Carolina. Registered with an NPI since 2025.

In the registry since
2025
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

4006 Postal Way Unit A
Myrtle Beach, SC 29579-3527
Phone: (843) 796-1769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X

Record details

NPI number1134090582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Rice — Authorized Official · (843) 796-1769
NPI enumeratedSeptember 17, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address4006 Postal Way Unit A, Myrtle Beach, SC 29579-3527

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