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Contact Information

COASTAL CAROLINA PHYSICAL REHAB INC
235 SINGLETON RIDGE RD
SUITE 108
CONWAY, SC29526
 Phone: 843-347-4175
 Fax: 843-347-4179
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for COASTAL CAROLINA PHYSICAL REHAB INC · (Female)

NPI Number 1932344454
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2008
Last updated 12/12/2008 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # MD21577
  • Other MD21577 SC MEDICAL LICENSE
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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