Coastal Carolina Ob Gyn LLC
NPI #1134167158 in Conway, South Carolina
Provider Information
- NPI Number
- 1134167158
- Entity Type
- Organization
- Organization Name
- Coastal Carolina Ob Gyn LLC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Jun 2, 2006
- Last Updated
- Mar 10, 2015
Practice Location
- Address
- 620 SINGLETON RIDGE RD
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526-9154
- Phone
- (843) 349-0100
Authorized Official
- Name
- MRS. TERESA WHITESTONE
- Title
- INSURANCE BILLING CLERK
- Phone
- (843) 349-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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