1548459597 COASTAL FAMILY MEDICINE

Legal Medicine

Active

Basic Information

Organization Name
COASTAL FAMILY MEDICINE
Enumeration Date
October 16, 2007
Last Update
October 17, 2007
Authorized Official
JONATHAN L DIETER JR. MD
OWNER
Phone: (843) 347-7224

Practice Location

Address
8014 MYRTLE TRACE DR
CONWAY, SC 295268945
Phone
(843) 347-7224
Fax
(843) 347-7335

Mailing Address

Address
8014 MYRTLE TRACE DR
CONWAY, SC 295268945
Phone
(843) 347-7224
Fax
(843) 347-7335

Specialties & Taxonomies

Specialty Code Classification License State Primary
Legal Medicine
 173000000X Legal Medicine MD 7055 SC Primary

Other Identifiers

Identifier Type State Issuer
2958 01 SC MEDICARE PROVIDER NUMBER
PC4269 01 SC MEDICAID PROVIDER NUMBER

Frequently Asked Questions

What is COASTAL FAMILY MEDICINE's NPI number?
COASTAL FAMILY MEDICINE's NPI number is 1548459597.
Which doctor has NPI number 1548459597?
The doctor with NPI number 1548459597 is COASTAL FAMILY MEDICINE.
What is COASTAL FAMILY MEDICINE's practice address?
COASTAL FAMILY MEDICINE's practice address is 8014 MYRTLE TRACE DR, CONWAY, SC, 295268945.
Which doctor practices at 8014 MYRTLE TRACE DR, CONWAY, SC, 295268945?
COASTAL FAMILY MEDICINE practices at 8014 MYRTLE TRACE DR, CONWAY, SC, 295268945.
What is COASTAL FAMILY MEDICINE's phone number?
COASTAL FAMILY MEDICINE's phone number is (843) 347-7224.
Who is (843) 347-7224?
(843) 347-7224 is the phone number for COASTAL FAMILY MEDICINE.
What is COASTAL FAMILY MEDICINE's specialty?
COASTAL FAMILY MEDICINE's specialty is Legal Medicine.
What type of doctor is COASTAL FAMILY MEDICINE?
COASTAL FAMILY MEDICINE is a Legal Medicine.
Is COASTAL FAMILY MEDICINE a Legal Medicine?
Yes, COASTAL FAMILY MEDICINE is a Legal Medicine.
Is COASTAL FAMILY MEDICINE still practicing?
Yes, COASTAL FAMILY MEDICINE is currently practicing.
Is COASTAL FAMILY MEDICINE accepting new patients?
COASTAL FAMILY MEDICINE may be accepting new patients. Please call their office at (843) 347-7224 to inquire about availability.
Is NPI 1548459597 still active?
Yes, NPI 1548459597 is currently active.
Where does COASTAL FAMILY MEDICINE practice?
COASTAL FAMILY MEDICINE practices in CONWAY, SC.