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Contact Information

COASTAL OBSTETRICS AND GYNECOLOGY
13 MARSHELLEN DRIVE
BEAUFORT, SC29902
 Phone: 843-521-0377
 Fax: 843-525-9194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for COASTAL OBSTETRICS AND GYNECOLOGY · (Female)

NPI Number 1477618189
Status Active
Credentials
Entity Individual
Enumeration date 12/22/2006
Last updated 04/18/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 22002
  • SC Medicaid GP4001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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