Coastal Carolina Physician Practices LLC
NPI #1174648802 in Hardeeville, South Carolina
Provider Information
- NPI Number
- 1174648802
- Entity Type
- Organization
- Organization Name
- Coastal Carolina Physician Practices LLC
- Primary Specialty
- Otolaryngology
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1010 MEDICAL CENTER DR
- Address 2
- SUITE 210
- City
- Hardeeville
- State
- South Carolina
- ZIP Code
- 29927-3447
- Phone
- (843) 784-7160
Authorized Official
- Name
- MR. ROBERT KLEIN
- Title
- DIVISION PRESIDENT
- Phone
- (615) 372-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology |
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