Organization
MURRELLS INLET ASC LLC
Active
Other names
Carolina Coast Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACEY TYLICKI (CHIEF ADMINISTRATIVE OFFICER)
(843) 299-1717
Entity
Organization
Contact information
Practice address
3545 HIGHWAY 17 BYPASS, MURRELLS INLET, SC 29576
(843) 299-1717
Mailing address
3545 HIGHWAY 17 BYPASS, MURRELLS INLET, SC 29576
(843) 299-1717
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
12/28/2021
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