institution
Coastal Physical Medicine, Pa
Medical Specialty Clinic/Center in North Charleston, South Carolina
NPI 1053580662

Coastal Physical Medicine, Pa is a Medical Specialty Clinic/Center based in Charleston, SC and is specialized in Medical Specialty. Coastal Physical Medicine, Pa practices in North Charleston, SC. The NPI Number for Coastal Physical Medicine, Pa is 1053580662 and holds a License No. 19612 (South Carolina).

The current practice location address for Coastal Physical Medicine, Pa is 3185 Azalea Dr, North Charleston, SC and can be reached out via phone at 843-762-2274 and via fax at 843-762-2278. You can also correspond with Coastal Physical Medicine, Pa through the mailing address at PO BOX 12819, CHARLESTON, SC - 29422-2819 (mailing address contact number: 843-762-2274).

Location: 3185 Azalea Dr, North Charleston, SC, 29422-2819
institution
Provider Profile Details
NPI Number
1053580662
Provider Name
Coastal Physical Medicine, Pa
Credential
Provider Entity Type
Organization
Address
3185 Azalea Dr, North Charleston, SC, 29422-2819
Phone Number
843-762-2274
Fax Number
843-762-2278
Provider Enumeration Date
02/27/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP2989 05 SC
institution
Provider Business Practice Location Address Details
Address
3185 Azalea Dr
City
State
Zip
29405-8211
Phone Number
843-762-2274
Fax Number
843-762-2278
person
Provider Business Mailing Address Details
Address
3185 Azalea Dr
City
State
Zip
29405-8211
Phone Number
843-762-2274
Fax Number
843-762-2278
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
19612 (South Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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