Coastal Carolina Medical Center, INC
NPI #1518007681 in Ridgeland, South Carolina
Provider Information
- NPI Number
- 1518007681
- Entity Type
- Organization
- Organization Name
- Coastal Carolina Medical Center, INC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Feb 7, 2007
- Last Updated
- Jun 5, 2014
Practice Location
- Address
- 10911 NORTH JACOB SMART BLVD
- Address 2
- #D
- City
- Ridgeland
- State
- South Carolina
- ZIP Code
- 29936-2729
- Phone
- (843) 784-3101
Authorized Official
- Name
- MR. MICHAEL KYLE BURTNETT
- Title
- SVP OF OUTPATIENT SERVICES, TENET
- Phone
- (469) 893-2153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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