COASTAL REJUVENATION SOLUTIONS NPI 1134801160

NPI Information

NPI: 1134801160
Provider Name: COASTAL REJUVENATION SOLUTIONS
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
630 CHESTNUT RD
MYRTLE BEACH, SC
ZIP 29572
Phone: (843) 945-1452
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COASTAL REJUVENATION SOLUTIONS is a multi-specialty clinic center in Myrtle Beach, SC. COASTAL REJUVENATION SOLUTIONS NPI is 1134801160. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

630 CHESTNUT RD
MYRTLE BEACH, SC
ZIP 29572-502
Phone: (843) 945-1452
Fax: (843) 945-1489

The provider's authorized official is Laura C Crawford .
The authorized official title is Owner and has the following contact phone number (843) 945-1452.

The enumeration date for this NPI number is 8/1/2023 and was last updated on 8/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2083B0002X	Preventive Medicine	Obesity Medicine	No
2	104100000X	Social Worker		No
3	163WG0000X	Registered Nurse	General Practice	No
4	251B00000X	Case Management		No
5	261QI0500X	Clinic/Center	Infusion Therapy	No
6	363LF0000X	Nurse Practitioner	Family	No
7	261QM1300X	Clinic/Center	Multi-Specialty	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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