Coastal Physical Medicine, Pa

LBN: Coastal Physical Medicine, Pa
Coastal Physical Medicine, Pa is an health care organization with primary practice located at 3185 Azalea Dr , North Charleston SC 29405-8211. 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 Physical Medicine, Pa can be contacted via phone (843) 762-2274, or through Mcswain, Rebecca via phone (843) 762-2274.

Contact Information

Primary practice address
3185 Azalea Dr North Charleston SC 29405-8211
Phone: (843) 762-2274
Fax: (843) 762-2278
Website:
Map and Directions
Authorized official contact:
Name: Mcswain, Rebecca
Phone: (843) 762-2274

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 19612 South Carolina

Profile Details

NPI number 1053580662
LBN Legal business name Coastal Physical Medicine, Pa
DBA Doing business as
Authorized official Mcswain, Rebecca
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2008
Last updated Feb 27th, 2008 - about 16 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 1053580662 NPPES
South Carolina MEDICAID GP2989

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