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Contact Information

COASTAL OBSTETRICS AND GYNECOLOGY
13 MARSHELLEN DRIVE
BEAUFORT, SC29902
 Phone: 843-521-0377
 Fax: 843-525-9194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for COASTAL OBSTETRICS AND GYNECOLOGY

NPI Number 1477618189
LBN Legal business name COASTAL OBSTETRICS AND GYNECOLOGY
Authorized official ARDRA DAVIS-TOLBERT - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2006
Last updated 04/18/2012 - About 14 years ago
Identifiers
SC License # 22002
SC Medicaid GP4001
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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