Coastal Recovery of South Carolina

NPI #1639441223 in Pawleys Island, South Carolina

Provider Information

NPI Number
1639441223
Entity Type
Organization
Organization Name
Coastal Recovery of South Carolina
Primary Specialty
Clinic/Center
Enumeration Date
Jan 30, 2012
Last Updated
Sep 24, 2015

Practice Location

Address
201 BUSINESS CENTER DR
ZIP Code
29585-6522
Phone
(888) 467-1117

Authorized Official

Name
DR. GERALD FRANCIS CONGDON, M.D.
Title
MANAGING PHYSICIAN
Phone
(888) 467-1117

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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