NPI 1164783643

Coastal Carolina Primary Care, LLC

Organisation Rural Health Clinic/Center Moncks Corner, SC

Practice location

Address: 106 W Main St, Moncks Corner, SC 29461-2601
Phone: (843) 761-1995

Authorised official

Name: Wayne O Whinney
Title: Authorized Official
Phone: (843) 856-7924

Registered specialties

Rural Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR1300X

Other Clinic/Center providers in South Carolina →

Registry record

NPI: 1164783643
Entity type: Organization
NPI issued: 31 May 2012
Record last updated: 31 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.