Coastal Pediatric Associates, Pa

LBN: Coastal Pediatric Associates, Pa
Coastal Pediatric Associates, Pa is an health care organization with primary practice located at 1952 Long Grove Dr Suite 202, Mount Pleasant SC 29464-7579. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Coastal Pediatric Associates, Pa can be contacted via phone (843) 284-4262, or through Graham, William Mclaurin via phone (843) 573-2535.

Contact Information

Primary practice address
1952 Long Grove Dr Suite 202 Mount Pleasant SC 29464-7579
Fax:
Website:
Authorized official contact:
Name: Graham, William Mclaurin Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18368 South Carolina

Profile Details

NPI number 1851680896
LBN Legal business name Coastal Pediatric Associates, Pa
DBA Doing business as
Authorized official Graham, William Mclaurin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2011
Last updated Feb 22nd, 2017 - about 8 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 1851680896 NPPES
South Carolina MEDICAID GP4716
South Carolina MEDICAID GP4680

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