Coastal Anesthesia Medical Group, Llc

LBN: Coastal Anesthesia Medical Group, Llc
Coastal Anesthesia Medical Group, Llc is an health care organization with primary practice located at 809 82Nd Parkway , Myrtle Beach SC 29572-4607. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Coastal Anesthesia Medical Group, Llc can be contacted via phone (843) 692-1062, or through Maggioncalda, Joseph via phone (843) 692-1721.

Contact Information

Primary practice address
809 82Nd Parkway Myrtle Beach SC 29572-4607
Phone: (843) 692-1062
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maggioncalda, Joseph Doctor of Medicine (MD)
Phone: (843) 692-1721

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1609813179
LBN Legal business name Coastal Anesthesia Medical Group, Llc
DBA Doing business as
Authorized official Maggioncalda, Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Sep 13th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609813179 NPPES
South Carolina MEDICAID GP3330

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