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Organization

COASTAL CARDIOVASCULAR SURGERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEX BRIAN MCINTYRE (CHIEF CARDIOTHORACIC SURGEON)
(843) 497-7772
Entity
Organization

Contact information

Practice address
933 MEDICAL CIR, MYRTLE BEACH, SC 29572-4116
(843) 497-7772
(843) 497-7627
Mailing address
933 MEDICAL CIR, MYRTLE BEACH, SC 29572-4116
(843) 497-7772
(843) 497-7627

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12574
SC LIC A BRIAN MCINTYRE
SC
01
21103
SC LIC F CURTIS BRYAN MD
SC
05
7902111
NC
05
790608L
NC
05
790608T
NC
01
C19162
RR MCR GROUP ID
SC
05
GP2303
SC
05
T53180
SC
Enumeration date
11/30/2005
Last updated
08/22/2020
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