# ATLANTIC COAST ANESTHESIA SERVICES P.C.

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

## Provider details

- **NPI number:** 1932641313
- **Authorized official:** STACEY MICHELLE WILSON (DIRECTOR)
- **Authorized official phone:** (865) 985-7114

## Contact information

- **Practice address:** 809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
- **Practice address phone:** (843) 692-1000
- **Mailing address:** 3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
- **Mailing address phone:** (865) 293-5676
- **Mailing address fax:** (865) 291-3239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 11/16/2016
- **Last updated:** 02/11/2026