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:
Authorized official contact:
Name: Clifford, Robert Andrew Doctor of Medicine (MD)
Phone: (843) 573-2535
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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 |
Popular Providers
-
University Medical Associates
171 Ashley Ave , Charleston SC 29425-8908 -
Charleston Pediatric Rehabilitation Llc
1407 Ashley River Rd , Charleston SC 29407-5305 -
University Medical Associates
171 Ashley Ave , Charleston SC 29425-8908 -
Lowcountry Medical Associates
349 Folly Rd Suite B, Charleston SC 29412-2508 -
Charleston Pediatrics
198 Rutledge Ave Suite 1, Charleston SC 29403-5817 -
Medical University Hospital Authority
171 Ashley Ave , Charleston SC 29425-8908 -
University Medical Associates
171 Ashley Ave , Charleston SC 29425-8908 -
Wheaton Pediatrics Llc
354 Folly Rd Suite #5, Charleston SC 29412-2594