Organization
COASTAL CANCER CENTER, LLC
Active
Parent organization
COASTAL CANCER CENTER LLC
Other names
Coastal Cancer Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL CANCER CENTER LLC
Authorized official
DR. VIJAY PAUDEL MD (PARTNER)
(843) 692-5000
Entity
Organization
Contact information
Practice address
4620 HIGHWAY 17, MURRELLS INLET, SC 29576-5016
(843) 357-7357
(843) 692-5015
Mailing address
8121 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 692-5000
(843) 692-5015
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
11181
SC
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902481
—
NC
05
—
GP2749
—
SC
Enumeration date
07/20/2006
Last updated
09/02/2025
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