COASTAL CAROLINA PODIATRY INC NPI 1154331544

NPI Information

NPI: 1154331544
Provider Name: COASTAL CAROLINA PODIATRY INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
4340 LADSON RD
SUITE C
LADSON, SC
ZIP 29456
Phone: (843) 851-9069
Get Directions

COASTAL CAROLINA PODIATRY INC is a foot and ankle surgery podiatrist in Ladson, SC. COASTAL CAROLINA PODIATRY INC NPI is 1154331544. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4340 LADSON RD
SUITE C
LADSON, SC
ZIP 29456-444
Phone: (843) 851-9069

The provider's authorized official is William Hal Hatchett .
The authorized official title is President and has the following contact phone number (843) 851-9069.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 2/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	556	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PD5561	MEDICAID	SOUTH CAROLINA
2	8550	MEDICARE PIN	SOUTH CAROLINA
3	6040470001	MEDICARE NSC	SOUTH CAROLINA
4	DF0094	OTHER	SOUTH CAROLINA	RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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