National Provider Identifier Database

COASTAL PEDIATRIC ASSOCIATES PA
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

COASTAL PEDIATRIC ASSOCIATES, P.A.
2067 CHARLIE HALL BLVD
CHARLESTON, SC29414-5834
Phone: 843-573-2535
Fax: 843-573-2534
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Health Service 103TH0100X

* Indicates primary specialty

NPI Profile & details for COASTAL PEDIATRIC ASSOCIATES, P.A.

NPI Number 1770700759
Legal business name
LBN
COASTAL PEDIATRIC ASSOCIATES, P.A.
Authorized official ROBERT CLIFFORD - (PARTNER)
Entity Organization
Organization subpart No
Enumeration date 04/19/2007
Last updated 08/02/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: GP4680
  • SC Medicaid: GP4716
  • SC Medicaid: GP7882
  • SC Medicaid: GP8203
  • SC Medicaid: GP8228
  • SC Medicaid: GP8229
  • SC Medicaid: GP8237
  • SC Medicaid: PG1066

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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