National Provider Identifier Database

COASTAL CAROLINA PHYSICIAN PRACTICES LLC
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.


Contact Information

COASTAL CAROLINA PHYSICIAN PRACTICES LLC
1010 MEDICAL CENTER DR
SUITE 210
HARDEEVILLE, SC29927-3447
Phone: 843-784-7160
Fax: 843-784-7161
Website:
Specialty Taxonomy Code
* Otolaryngology 207Y00000X

* Indicates primary specialty

NPI Profile & details for COASTAL CAROLINA PHYSICIAN PRACTICES LLC

NPI Number 1174648802
Legal business name
LBN
COASTAL CAROLINA PHYSICIAN PRACTICES LLC
Authorized official ROBERT KLEIN - (DIVISION PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/20/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 18548
  • SC Medicaid: PENDING

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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