OrganizationActive
Coastal Family Medicine
NPI 1548459597 · Legal Medicine · Conway, SC
Provider details
- NPI number
- 1548459597
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Jonathan Dieter, Owner(843) 347-7224
- License
- MD 7055 (SC)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
8014 Myrtle Trace Dr
Conway, SC 29526-8945
Phone: (843) 347-7224
Fax: (843) 347-7335
Street-level locationGet directions
Mailing address
8014 Myrtle Trace Dr
Conway, SC 29526-8945
Registry dates
- Enumerated
- 2007-10-16
- Last updated
- 2007-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.