Coastal Carolina Primary Care, LLC
NPI #1942522719 in Ladson, South Carolina
Provider Information
- NPI Number
- 1942522719
- Entity Type
- Organization
- Organization Name
- Coastal Carolina Primary Care, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 22, 2010
- Last Updated
- May 5, 2010
Practice Location
- Address
- 3601 LADSON RD
- Address 2
- SUITE 101
- City
- Ladson
- State
- South Carolina
- ZIP Code
- 29456-4304
- Phone
- (843) 821-0733
Authorized Official
- Name
- WAYNE O. WINNEY
- Title
- VICE PRESIDENT
- Phone
- (843) 847-4054
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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