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Contact Information

COASTAL PODIATRY LLC
180 WINGO WAY
SUITE 201
MOUNT PLEASANT, SC29464-1810
 Phone: 843-856-5337
 Fax: 843-606-2483
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for COASTAL PODIATRY LLC · (Female)

NPI # 1588965586
Status Active
Credentials
Entity Individual
Enumeration date 11/07/2010
Last updated 12/13/2013 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # POD 607
  • SC Medicaid GP9889
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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