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Contact Information

COASTAL PODIATRY, LLC
180 WINGO WAY
SUITE 101
MOUNT PLEASANT, SC29464-1810
 Phone: 843-856-5337
 Fax: 843-856-5339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for COASTAL PODIATRY, LLC

NPI Number 1720356231
LBN Legal business name COASTAL PODIATRY, LLC
Authorized official RAHN RAVENELL - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2011
Last updated 12/12/2011 - About 14 years ago
Identifiers
SC License # 603
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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