National Provider Identifier Database

COASTAL NEUROLOGY PA
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

COASTAL NEUROLOGY, P.A.
1833 N. PARIS AVENUE
PORT ROYAL, SC29935-2029
Phone: 843-522-1420
Fax: 843-522-1460
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for COASTAL NEUROLOGY, P.A.

NPI Number 1750346789
Legal business name
LBN
COASTAL NEUROLOGY, P.A.
Authorized official PAUL MAZZEO - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/20/2006
Last updated 08/18/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: GP1188

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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