COASTAL WELLNESS CENTER, LLC is a primary care clinic center in Myrtle Beach, SC. COASTAL WELLNESS CENTER, LLC NPI is 1902077266. The provider is registered as an organization entity type.
The provider's business location address is:
4955 HIGHWAY 17 BYP S
MYRTLE BEACH, SC
ZIP 29577-684
Phone: (888) 403-2444
Fax: (855) 818-2168
The provider's authorized official is Gerald Francis Congdon .
The authorized official title is Managing Physician and has the following contact phone number (888) 467-1117.
The CLIA number assigned to this NPI record is 42D1084660 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/14/2008 and was last updated on 3/6/2019.