Coastal Carolina Multispecialty Assocs, Llc

LBN: Coastal Carolina Multispecialty Assocs, Llc
Coastal Carolina Multispecialty Assocs, Llc is an health care organization with primary practice located at 9221 University Blvd Suite 102, North Charleston SC 29406-9148. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Coastal Carolina Multispecialty Assocs, Llc can be contacted via phone (843) 576-0700, or through Pickett, Mark via phone (678) 762-5037.

Contact Information

Primary practice address
9221 University Blvd Suite 102 North Charleston SC 29406-9148
Phone: (843) 576-0700
Fax: (843) 576-0701
Website:
Map and Directions
Authorized official contact:
Name: Pickett, Mark
Phone: (678) 762-5037

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1184730749
LBN Legal business name Coastal Carolina Multispecialty Assocs, Llc
DBA Doing business as
Authorized official Pickett, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Oct 31st, 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 1184730749 NPPES
South Carolina MEDICAID GP 4508

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