National Provider Identifier Database

COASTAL PLAINS PHYSICIAN ASSOCIATES
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

COASTAL PLAINS PHYSICIAN ASSOCIATES
595 W CAROLINA AVE
VARNVILLE, SC29944-4735
Phone: 803-943-1239
Fax: 803-943-1240
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Clinical Cardiac Electrophysiology 207RC0001X
Internal Medicine 207R00000X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for COASTAL PLAINS PHYSICIAN ASSOCIATES

NPI Number 1316992506
Legal business name
LBN
COASTAL PLAINS PHYSICIAN ASSOCIATES
Authorized official DAVE HAMILL - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/24/2006
Last updated 05/30/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 25030796-6
  • SC Medicaid: GP3207

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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