Coastal Carolina Physical Rehab Inc

LBN: Coastal Carolina Physical Rehab Inc
Coastal Carolina Physical Rehab Inc is an health care organization with primary practice located at 235 Singleton Ridge Rd Suite 108, Conway SC 29526. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Coastal Carolina Physical Rehab Inc can be contacted via phone (843) 347-4175, or through Alfonso, Mayra via phone (843) 347-4175.

Contact Information

Primary practice address
235 Singleton Ridge Rd Suite 108 Conway SC 29526
Phone: (843) 347-4175
Fax: (843) 347-4179
Website:
Map and Directions
Authorized official contact:
Name: Alfonso, Mayra Doctor of Medicine (MD)
Phone: (843) 347-4175

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD21577 South Carolina

Profile Details

NPI number 1932344454
LBN Legal business name Coastal Carolina Physical Rehab Inc
DBA Doing business as
Authorized official Alfonso, Mayra Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2008
Last updated Dec 12th, 2008 - about 17 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 1932344454 NPPES
Other MD21577 SC MEDICAL LICENSE

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