The Colorectal Endosurgery Institute of the Carolinas
NPI #1073789020 in Mt Pleasant, South Carolina
Provider Information
- NPI Number
- 1073789020
- Entity Type
- Organization
- Organization Name
- The Colorectal Endosurgery Institute of the Carolinas
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GASTROINTESTINAL SURGICAL SPECIALISTS, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Apr 30, 2008
- Last Updated
- Dec 14, 2012
Practice Location
- Address
- 1439 STUART ENGALS BLVD
- Address 2
- SUITE 100
- City
- Mt Pleasant
- State
- South Carolina
- ZIP Code
- 29464-3305
- Phone
- (843) 853-7730
Authorized Official
- Name
- DR. RUDOLPH B RUSTIN, M.D.
- Title
- OWNER
- Phone
- (843) 853-7730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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