OrganizationActive
Coastal Carolina Ent, DO, PA
NPI 1386989028 · Facial Plastic Surgery Physician · Little River, SC
Provider details
- NPI number
- 1386989028
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Coastal Carolina Ent, DO, PA
- Organization subpart
- Yes
- Authorized official
- Wendy Paris, Insurance/Billing Specialist(910) 914-0540
- License
- DO 1480 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3806 Sawtell Rd
Little River, SC 29566-7873
Phone: (843) 663-9090
Fax: (843) 663-9091
Street-level locationGet directions
Mailing address
302 Liberty St
Whiteville, NC 28472-3714
Registry dates
- Enumerated
- 2012-12-06
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.