Coastal Neurology, P.A.

LBN: Coastal Neurology, P.A.
Coastal Neurology, P.A. is an health care organization with primary practice located at 1833 N. Paris Avenue , Port Royal SC 29935-2029. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Coastal Neurology, P.A. can be contacted via phone (843) 522-1420, or through Mazzeo, Paul via phone (843) 522-1420.

Contact Information

Primary practice address
1833 N. Paris Avenue Port Royal SC 29935-2029
Fax: (843) 522-1460
Website:
Authorized official contact:
Name: Mazzeo, Paul Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1750346789
LBN Legal business name Coastal Neurology, P.A.
DBA Doing business as
Authorized official Mazzeo, Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2006
Last updated Aug 3rd, 2023 - about last year

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 1750346789 NPPES
South Carolina MEDICAID GP1188

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