COASTAL CAROLINA PODIATRY INC; NPI #1629282744

Contact Information

COASTAL CAROLINA PODIATRY INC

299 MIDLAND PKWY # B
SUMMERVILLE, SC 29485-8104

Phone: 843-851-9069
Fax: 843-871-8248
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for COASTAL CAROLINA PODIATRY INC

NPI # 1629282744

LBN Legal business name COASTAL CAROLINA PODIATRY INC

Authorized official WILLIAM HATCHETT - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/09/2007

Last updated 04/20/2008 - About 18 years ago

Identifiers

SC	License #	0556
SC	Medicaid	PD5561
	Other	DF0094	RR MEDICARE
SC	Other	CM2497	RAIL ROAD

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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COASTAL CAROLINA PODIATRY INC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for COASTAL CAROLINA PODIATRY INC

Reviews for COASTAL CAROLINA PODIATRY INC