Coastal Kidney Center PA
NPI #1801961537 in Conway, South Carolina
Provider Information
- NPI Number
- 1801961537
- Entity Type
- Organization
- Organization Name
- Coastal Kidney Center PA
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Nov 21, 2006
- Last Updated
- Sep 25, 2024
Practice Location
- Address
- 847 FARRAR DRIVE
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526
- Phone
- (843) 347-9487
Authorized Official
- Name
- MR. SIVANTHAN BALACHANDRAN, MD
- Title
- PRESIDENT
- Phone
- (843) 347-9487
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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