Coastal Carolina Urology Group, LLC

NPI #1528101664 in Beaufort, South Carolina

Provider Information

NPI Number: 1528101664
Entity Type: Organization
Organization Name: Coastal Carolina Urology Group, LLC
Primary Specialty: Urology
Enumeration Date: Feb 15, 2007
Last Updated: Mar 31, 2015

Practice Location

Address: 1055 RIBAUT RD
Address 2: SUITE 10
City: Beaufort
State: South Carolina
ZIP Code: 29902-5423
Phone: (843) 524-7607

Authorized Official

Name: TAMMY SUE HOWE
Title: BILLING SUPERVISOR
Phone: (888) 482-4871

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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Organizations

Provider Name	Specialty	City
Hilton Head Regional Physician Group LLC	Urology	Beaufort	AI Deep Dive
Coastal Carolina Urology Group LLC	Urology	Beaufort	AI Deep Dive
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