OrganizationActive
Coastal Med Spa, LLC
NPI 1134090582 · Public Health & General Preventive Medicine Physician · Myrtle Beach, SC
Provider details
- NPI number
- 1134090582
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Laura Rice, Authorized Official
Practice location
4006 Postal Way Unit a
Myrtle Beach, SC 29579-3527
Phone: (843) 796-1769
Mailing address
4006 Postal Way Unit a
Myrtle Beach, SC 29579-3527
Registry dates
- Enumerated
- 2025-09-17
- Last updated
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.