Organization
COASTAL CAROLINA UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL MICHAEL APRN (NIRSE PRACTITIONER)
(843) 349-6543
Entity
Organization
Contact information
Practice address
204 UNIVERSITY BLVD, CONWAY, SC 29526-8834
(843) 649-6543
Mailing address
204 UNIVERSITY BLVD, CONWAY, SC 29526-8834
(843) 649-6543
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3684
SC
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up