Organization
ATLANTIC COAST ANESTHESIA SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY MICHELLE WILSON (DIRECTOR)
(865) 985-7114
Entity
Organization
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1000
Mailing address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(865) 293-5676
(865) 291-3239
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/16/2016
Last updated
02/11/2026
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