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Coastal Pediatric Associates, P.a.
Pediatrics Physician in Charleston, South Carolina
NPI 1770700759

Coastal Pediatric Associates, P.a. is a Pediatrics Physician based in North Charleston, SC. Coastal Pediatric Associates, P.a. practices in Charleston, SC. The NPI Number for Coastal Pediatric Associates, P.a. is 1770700759 and holds a License No. (South Carolina).

The current practice location address for Coastal Pediatric Associates, P.a. is 2067 Charlie Hall Blvd, Charleston, SC and can be reached out via phone at 843-573-2535 and via fax at 843-573-2534.

Location: 2067 Charlie Hall Blvd, Charleston, SC, 29406-6531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770700759
Provider Name
Coastal Pediatric Associates, P.a.
Credential
Provider Entity Type
Organization
Address
2067 Charlie Hall Blvd, Charleston, SC, 29406-6531
Phone Number
843-573-2535
Fax Number
843-573-2534
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP7882 05 SC
GP8228 05 SC
GP4680 05 SC
GP8203 05 SC
GP8237 05 SC
GP4716 05 SC
GP8229 05 SC
PG1066 05 SC
institution
Provider Business Practice Location Address Details
Address
2067 Charlie Hall Blvd
City
Charleston
State
South Carolina
Zip
29414-5834
Phone Number
843-573-2535
Fax Number
843-573-2534
person
Provider Business Mailing Address Details
Address
2067 Charlie Hall Blvd
City
Charleston
State
South Carolina
Zip
29414-5834
Phone Number
843-573-2535
Fax Number
843-573-2534
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
()
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
()
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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