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Organization
FAMILY FIRST HEALTH CLINIC, PA
Active
Organization
FAMILY FIRST HEALTH CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRYSTAL M COATES-GAL MD (PRESIDENT/OWNER)
(843) 945-8117
Entity
Organization
Contact information
Practice address
4612 OLEANDER DR STE 102, MYRTLE BEACH, SC 29577-5711
(843) 945-8117
(843) 945-8124
Mailing address
4612 OLEANDER DR STE 102, MYRTLE BEACH, SC 29577-5711
(843) 945-8117
(843) 945-8124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378460
—
SC
Enumeration date
07/29/2019
Last updated
06/15/2021
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