Coastal Pediatric Associates, P.a.
NPI #1083110019 in Charleston, South Carolina
Provider Information
- NPI Number
- 1083110019
- Entity Type
- Organization
- Organization Name
- Coastal Pediatric Associates, P.a.
- Primary Specialty
- Psychologist - Health Service
- Enumeration Date
- Mar 30, 2018
- Last Updated
- Mar 30, 2018
Practice Location
- Address
- 2051 CHARLIE HALL BLVD
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29414-5834
- Phone
- (843) 737-9467
Authorized Official
- Name
- DANA WOLF
- Title
- DIRECTOR OF QUALITY PROGRAMS
- Phone
- (843) 284-4258
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Health Service — Health Service |
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