OrganizationActive
Coastal Carolina Otolaryngology Associates,pa
NPI 1497717086 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Myrtle Beach, SC
Provider details
- NPI number
- 1497717086
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Rosner, Vice President(843) 449-6449
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Otolaryngology Physician207Y00000X
Allopathic & Osteopathic Physicians
Practice location
3822 Mayfair St
Myrtle Beach, SC 29577-0912
Phone: (843) 449-6449
Fax: (843) 449-1069
Approximate (ZIP-level) locationGet directions
Mailing address
3822 Mayfair St
Myrtle Beach, SC 29577-0912
Registry dates
- Enumerated
- 2006-04-06
- Last updated
- 2025-08-26
- Certified
- 2025-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.