Coastal Pediatric Associates, P.A.

LBN: Coastal Pediatric Associates, P.A.
Coastal Pediatric Associates, P.A. is an health care organization with primary practice located at 2067 Charlie Hall Blvd , Charleston SC 29414-5834. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Coastal Pediatric Associates, P.A. can be contacted via phone (843) 573-2535, or through Clifford, Robert Andrew via phone (843) 573-2535.

Contact Information

Primary practice address
2067 Charlie Hall Blvd Charleston SC 29414-5834
Phone: (843) 573-2535
Fax: (843) 573-2534
Website:
Map and Directions
Authorized official contact:
Name: Clifford, Robert Andrew Doctor of Medicine (MD)
Phone: (843) 573-2535

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1770700759
LBN Legal business name Coastal Pediatric Associates, P.A.
DBA Doing business as
Authorized official Clifford, Robert Andrew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Aug 2nd, 2022 - about 2 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 1770700759 NPPES
South Carolina MEDICAID GP7882
South Carolina MEDICAID GP8228
South Carolina MEDICAID GP4680
South Carolina MEDICAID GP8203
South Carolina MEDICAID GP8237
South Carolina MEDICAID GP4716
South Carolina MEDICAID GP8229
South Carolina MEDICAID PG1066

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