Coastal Carolina Centers of Urology and Surgery LLC
NPI #1205095080 in Conway, South Carolina
Provider Information
- NPI Number
- 1205095080
- Entity Type
- Organization
- Organization Name
- Coastal Carolina Centers of Urology and Surgery LLC
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Jun 5, 2008
- Last Updated
- Jun 2, 2015
Practice Location
- Address
- 822 FARRAR DR
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526-8747
- Phone
- (843) 347-9587
Authorized Official
- Name
- MRS. VIRGINIA A MCCURDY
- Title
- BUSINESS OFFICE MANAGER
- Phone
- (843) 347-9587
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
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