| Coastal Pediatrics | |
|
8030 Myrtle Trace Dr Conway SC 29526-8945 | |
| (843) 347-4677 | |
| (843) 347-4678 |
| Full Name | Coastal Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 8030 Myrtle Trace Dr, Conway, South Carolina |
| Authorized Official Name and Position | James Melvin Lindsey (OWNER) |
| Authorized Official Contact | 8433474677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Pediatrics 8030 Myrtle Trace Dr Conway SC 29526-8945 Ph: (843) 347-4677 | Coastal Pediatrics 8030 Myrtle Trace Dr Conway SC 29526-8945 Ph: (843) 347-4677 |
| NPI Number | 1659382067 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8527125046 |
|---|---|
| Medicare Enrollment ID | O20090326000496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659382067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 7486 (South Carolina) | Primary |
| Provider Name | Alfonso Luison Sangtian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598766529 PECOS PAC ID: 1153488671 Enrollment ID: I20090326000512 |
| Provider Name | James Melvin Lindsey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841291887 PECOS PAC ID: 7113084633 Enrollment ID: I20100813000492 |
Clinic Services Of South Carolina Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7111 | |
Sasser Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2361 Cypress Cir, Conway, SC 29526 Phone: 843-347-7291 Fax: 843-347-9309 | |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1608 N. Main St, Conway, SC 29526 Phone: 843-248-4700 | |
Cmc Primary Care Highway 90 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 Highway 90, Conway, SC 29526 Phone: 843-399-3377 | |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526 Phone: 843-248-4700 | |
Cmc Primary Care Church Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Church St, Ste A, Conway, SC 29526 Phone: 843-365-0295 Fax: 843-365-0354 | |
Coastal Carolina University Student Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 University Blvd, Conway, SC 29526 Phone: 843-349-6543 |