Coastal Medical Services Llc

NPI 1164855227 - Podiatrist - 213E00000X

NPI Details
NPI 1164855227
Enumeration Date 08/13/2013
Last Updated 03/22/2016
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name REBECCA REBECCA
Position OWNER
Phone (843) 693-6200
Fax (513) 858-7827
Practice Location
616 CHURCHILL RD
WALTERBORO SC, 29488-3622, US
Phone (843) 693-6200
Fax (513) 858-7827
Business Location
616 CHURCHILL RD
WALTERBORO SC, 29488-3622, US
Phone (843) 693-6200
Fax (513) 858-7827
Toxanomy
Taxonomy Code 213E00000X
License State South Carolina
License Number 630
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According to our database, Coastal Medical Services Llc NPI is 1164855227, taxonomy code is 213E00000X and license number is 630, license state is located at South Carolina. Coastal Medical Services Llc physically located at 616 Churchill Rd, Walterboro SC, 29488-3622. NPI Number 1033115704 has the healthcare provider type.

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1164855227 NPI number is provided on an as is basis without warranty of any kind. 1164855227 is maintained by the National Plan & Provider Enumeration System. The contents of Coastal Medical Services Llc are for informational purposes only.