NPI 1184730749

Coastal Carolina Multispecialty Assocs, LLC

Organisation Specialist North Charleston, SC

Practice location

Address: 9221 University Blvd Suite 102, North Charleston, SC 29406-9148
Phone: (843) 576-0700
Fax: (843) 576-0701

Authorised official

Name: Mark Pickett
Title: Vice-President of Operations
Phone: (678) 762-5037

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1184730749
Entity type: Organization
NPI issued: 23 Aug 2006
Record last updated: 31 Oct 2007

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.