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Contact Information

COASTAL CAROLINA SURGICAL ASSOC
1055 RIBAUT ROAD
SUITE 30
BEAUFORT, SC29902-5447
 Phone: 843-524-8171
 Fax: 843-525-6613
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for COASTAL CAROLINA SURGICAL ASSOC

NPI # 1831252477
LBN Legal business name COASTAL CAROLINA SURGICAL ASSOC
Authorized official LORI MOCK - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers n/a
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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