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NPI Profile for COASTAL PLAINS PHYSICIAN ASSOCIATES in VARNVILLE, SC.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Clinical Cardiac Electrophysiology |
207RC0001X | 11 | Physician/Internal Medicine | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Surgery |
208600000X | 02 | Physician/General Surgery |
| NPI Number | 1316992506 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/24/2006 | |
| Last updated | 05/30/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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COASTAL PLAINS PHYSICIAN ASSOCIATES
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COASTAL PLAINS PHYSICIAN ASSOCIATES