# COASTAL CAROLINA OTOLARYNGOLOGY ASSOCIATES,PA

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

## Provider details

- **NPI number:** 1497717086
- **Authorized official:** MR. DANIEL L ROSNER MD (VICE PRESIDENT)
- **Authorized official phone:** (843) 449-6449

## Contact information

- **Practice address:** 3822 MAYFAIR ST, MYRTLE BEACH, SC 29577-0912
- **Practice address phone:** (843) 449-6449
- **Practice address fax:** (843) 449-1069
- **Mailing address:** 3822 MAYFAIR ST, MYRTLE BEACH, SC 29577-0912
- **Mailing address phone:** (843) 449-6449
- **Mailing address fax:** (843) 449-1069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 09/10/2026