COASTAL CAROLINA PHYSICIAN PRACTICES LLC
Organization (NPI-2)
Active
Otolaryngology
Provider Information
- NPI Number
1174648802- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1010 MEDICAL CENTER DR SUITE 210, HARDEEVILLE, SC, 299273447
- Phone
- (843) 784-7160
- Fax
- (843) 784-7161
Specialties & Taxonomies
Otolaryngology
Primary License: SC #18548