# COASTAL EYE GROUP, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477663706
- **Authorized official:** FRANK KEENAN SLOAN M.D. (OWNER)
- **Authorized official phone:** (843) 449-7115

## Contact information

- **Practice address:** 150 VILLAGE CENTER BLVD, MYRTLE BEACH, SC 29579-6618
- **Practice address phone:** (843) 449-7115
- **Practice address fax:** (843) 497-2960
- **Mailing address:** 150 VILLAGE CENTER BLVD, MYRTLE BEACH, SC 29579-6618
- **Mailing address phone:** (843) 449-7115
- **Mailing address fax:** (843) 497-2960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | SC | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 06/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 890172H | NC MEDICAID | NC |
| 05 | — | GP0321 | — | SC |
