OrganizationActive
Coastal Rejuvenation Solutions
NPI 1134801160 · Multi-Specialty Clinic/Center · Myrtle Beach, SC
Provider details
- NPI number
- 1134801160
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Laura Crawford, Owner
Practice location
630 Chestnut Rd
Myrtle Beach, SC 29572-5502
Phone: (843) 945-1452
Fax: (843) 945-1489
Mailing address
630 Chestnut Rd
Myrtle Beach, SC 29572-5502
Registry dates
- Enumerated
- 2023-08-01
- Last updated
- 2023-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.