COASTAL CAROLINAS INTEGRATED MEDICINE II
NPI 1255158788
Nurse Practitioner - Family in North Myrtle Beach, SC

Q: What is Coastal Carolinas Integrated Medicine II's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 25, 2024

416 MAIN ST, NORTH MYRTLE BEACH, SC 29582(843) 663-0933(843) 663-0936 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Coastal Carolinas Integrated Medicine Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL CAROLINAS INTEGRATED MEDICINE II (NPI 1255158788) is a healthcare organization registered as a family in North Myrtle Beach, South Carolina and active in the NPI registry since September 2024. The organization lists La Bommie Saunders, Credentialing And Billing Rep, as its authorized official.

NPPES Registry Identity

NPI1255158788

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameCOASTAL CAROLINAS INTEGRATED MEDICINE II

Location Address416 MAIN STNorth Myrtle Beach, SC 29582-3024

Mailing AddressPo Box 4563North Myrtle Beach, SC 29597-4563 · (843) 663-0933 · Fax (843) 663-0936

Phone(843) 663-0933

Fax(843) 663-0936

Organization SubpartNo

Authorized OfficialLa Bommie SaundersCredentialing And Billing Rep · (910) 616-5770

Enumeration DateSeptember 25, 2024

NPPES CertifiedSeptember 25, 2024

✔ NPI 1255158788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

416 MAIN ST, North Myrtle Beach, SC 29582

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CARLEEN WILLEFORD DNP

Nurse Practitioner (Family)

416 MAIN ST
NORTH MYRTLE BEACH, SC 29582

Horry County (843) 663-0933

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Carolinas Integrated Medicine II's NPI number?

The NPI number for Coastal Carolinas Integrated Medicine II is 1255158788. It was assigned to this organization in the NPPES registry on September 25, 2024.

Where is Coastal Carolinas Integrated Medicine II located?

Coastal Carolinas Integrated Medicine II is located at 416 Main St, North Myrtle Beach, SC 29582. The listed phone number is (843) 663-0933.

What is Coastal Carolinas Integrated Medicine II's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Coastal Carolinas Integrated Medicine II was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.