IndividualActive
Brandon Coakley, MD
NPI 1992065858 · MOHS-Micrographic Surgery Physician · Myrtle Beach, SC
Provider details
- NPI number
- 1992065858
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD40685 (SC)
Practice location
917 Medical Cir
Myrtle Beach, SC 29572-4116
Phone: (843) 449-0453
Fax: (843) 449-9531
Mailing address
917 Medical Cir
Myrtle Beach, SC 29572-4116
Registry dates
- Enumerated
- 2012-05-24
- Last updated
- 2019-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.