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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 Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

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

NPI Number 1750346789
LBN Legal business name COASTAL NEUROLOGY, P.A.
Authorized official PAUL MAZZEO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2006
Last updated 08/18/2025 - About 10 months ago
Identifiers
SC Medicaid GP1188
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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