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Organization
COASTAL CAROLINA OTOLARYNGOLOGY ASSOCIATES,PA
Active
Organization
COASTAL CAROLINA OTOLARYNGOLOGY ASSOCIATES,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL L ROSNER MD (VICE PRESIDENT)
(843) 449-6449
Entity
Organization
Contact information
Practice address
3822 MAYFAIR ST, MYRTLE BEACH, SC 29577-0912
(843) 449-6449
(843) 449-1069
Mailing address
3822 MAYFAIR ST, MYRTLE BEACH, SC 29577-0912
(843) 449-6449
(843) 449-1069
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
NULL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
Other
Enumeration date
04/06/2006
Last updated
09/10/2026
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