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COASTAL FAMILY MEDICINE
NPI 1548459597
Legal Medicine in Conway, SC

Active since October 16, 2007
8014 MYRTLE TRACE DR, CONWAY, SC 29526(843) 347-7224(843) 347-7335 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coastal Family Medicine NPPES

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

COASTAL FAMILY MEDICINE (NPI 1548459597) is a healthcare organization registered as a legal medicine in Conway, South Carolina and active in the NPI registry since October 2007. The organization lists Jonathan L Dieter, Owner, as its authorized official.

NPPES Registry Identity

NPI1548459597
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameCOASTAL FAMILY MEDICINE
Location Address8014 MYRTLE TRACE DRConway, SC 29526-8945
Mailing Address8014 Myrtle Trace DrConway, SC 29526-8945 · (843) 347-7224 · Fax (843) 347-7335
Phone(843) 347-7224
Fax(843) 347-7335
Organization SubpartNo
Authorized OfficialJonathan L DieterOwner · (843) 347-7224
Enumeration DateOctober 16, 2007
Last NPPES UpdateOctober 17, 2007
✔ NPI 1548459597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License✔ Licensed in SC · MD 7055
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
8014 MYRTLE TRACE DR, Conway, SC 29526
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Other Identifiers 2

OtherPC4269SC · Medicaid Provider Number
Other2958SC · Medicare Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

JONATHAN L DIETER JR. MD
Family Medicine
8014 MYRTLE TRACE DR
CONWAY, SC 29526
Horry County (843) 347-7224
SOUTHMED SERVICES, LLC
Nurse Practitioner (Family)
8014 MYRTLE TRACE DR
CONWAY, SC 29526
Horry County (843) 997-0912
MS. SANDRA MARION BREMNER FNP
Nurse Practitioner (Family)
8014 MYRTLE TRACE DR
CONWAY, SC 29526
Horry County (843) 997-0912
CATHY BATTLE FAMILY COUNSELING
Preferred Provider Organization
8014 MYRTLE TRACE DR
CONWAY, SC 29526
Horry County (843) 347-5239

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 Family Medicine's NPI number?

The NPI number for Coastal Family Medicine is 1548459597. It was assigned to this organization in the NPPES registry on October 16, 2007.

Where is Coastal Family Medicine located?

Coastal Family Medicine is located at 8014 Myrtle Trace Dr, Conway, SC 29526. The listed phone number is (843) 347-7224.

What is Coastal Family Medicine's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

When was this NPI record last updated?

The NPPES record for Coastal Family Medicine was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.