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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 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
Indicates primary specialty

NPI Profile & details for COASTAL PLAINS PHYSICIAN ASSOCIATES

NPI Number 1316992506
LBN Legal business name COASTAL PLAINS PHYSICIAN ASSOCIATES
Authorized official DAVE HAMILL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2006
Last updated 05/30/2023 - About 3 years ago
Identifiers
SC License # 25030796-6
SC Medicaid GP3207
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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