OrganizationActive
Coastal Carolina University
NPI 1710136908 · Clinic/Center · Conway, SC
Provider details
- NPI number
- 1710136908
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jill Michael, Nirse Practitioner(843) 349-6543
- License
- 3684 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
204 University Blvd
Conway, SC 29526-8834
Phone: (843) 649-6543
Approximate (ZIP-level) locationGet directions
Mailing address
204 University Blvd
Conway, SC 29526-8834
Registry dates
- Enumerated
- 2008-09-12
- Last updated
- 2008-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.