# MURRELLS INLET ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carolina Coast Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780076885
- **Authorized official:** MR. TRACEY TYLICKI (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (843) 299-1717

## Contact information

- **Practice address:** 3545 HIGHWAY 17 BYPASS, MURRELLS INLET, SC 29576
- **Practice address phone:** (843) 299-1717
- **Mailing address:** 3545 HIGHWAY 17 BYPASS, MURRELLS INLET, SC 29576
- **Mailing address phone:** (843) 299-1717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2015
- **Last updated:** 12/28/2021