Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Coastal Grande Ob-Gyn, LLC

Organization Specialist · NPI 1811935463

Coastal Grande Ob-Gyn, LLC provides Specialist services in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1021 Cipriana Dr Ste 250
Myrtle Beach, SC 29572-4619 Not confirmed with CMS for 15 years — call before visiting
Phone: (843) 421-8200
Fax: (843) 839-3634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (SC)

Record details

NPI number1811935463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Spielvogel — Owner/M.D. · (843) 421-8200
NPI enumeratedJune 4, 2006
Last updated in NPPESJuly 21, 2011
Mailing address1021 Cipriana Drive, Suite 250, Myrtle Beach, SC 29572-4619

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