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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 Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for COASTAL CAROLINA PHYSICIAN PRACTICES LLC

NPI # 1174648802
LBN Legal business name COASTAL CAROLINA PHYSICIAN PRACTICES LLC
Authorized official ROBERT KLEIN - (DIVISION PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC License # 18548
SC Medicaid PENDING
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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