NPI 1134090582

Coastal Med Spa, LLC

Organisation Public Health & General Preventive Medicine Physician Myrtle Beach, SC

Practice location

Address: 4006 Postal Way Unit a, Myrtle Beach, SC 29579-3527
Phone: (843) 796-1769

Authorised official

Name: Laura Rice
Title: Authorized Official
Phone: (843) 796-1769

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X

Other Preventive Medicine providers in South Carolina →

Registry record

NPI: 1134090582
Entity type: Organization
NPI issued: 17 Sep 2025
Record last updated: 17 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.