Coastal Carolina Breast Center LLC

NPI #1295983096 in Murrells Inlet, South Carolina

Provider Information

NPI Number: 1295983096
Entity Type: Organization
Organization Name: Coastal Carolina Breast Center LLC
Primary Specialty: Surgery
Enumeration Date: Sep 4, 2008
Last Updated: Oct 10, 2008

Practice Location

Address: 4181 HIGHWAY 17
City: Murrells Inlet
State: South Carolina
ZIP Code: 29576-5019
Phone: (843) 651-3308

Authorized Official

Name: MRS. JOY L CIAPPETTA
Title: ADMINISTRATOR
Phone: (843) 651-3308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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