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Organization
COASTAL CAROLINA INFECTIOUS DISEASE, LLC
Active
Organization
COASTAL CAROLINA INFECTIOUS DISEASE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE THORNHILL (BILLING MANAGER)
(843) 668-2376
Entity
Organization
Contact information
Practice address
1110 LONDON ST STE 102, MYRTLE BEACH, SC 29577
(843) 668-2376
(843) 748-0613
Mailing address
1110 LONDON ST STE 102, MYRTLE BEACH, SC 29577-5799
(843) 668-2376
(843) 748-0613
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
SC
Other
Enumeration date
01/07/2016
Last updated
05/17/2018
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