COASTAL GYNECOLOGY AND OBSTETRICS PA NPI 1659458966

NPI Information

COASTAL GYNECOLOGY AND OBSTETRICS PA is an obstetrics gynecology in Charleston, SC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. COASTAL GYNECOLOGY AND OBSTETRICS PA NPI is 1659458966. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2093 HENRY TECKLENBURG DR
SUITE 304 EAST
CHARLESTON, SC
ZIP 29414-741
Phone: (843) 571-0200
Fax: (866) 848-8485

The provider's authorized official is Harry Wade Boatwright .
The authorized official title is Physician and has the following contact phone number (843) 571-0200.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 9/25/2012.

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:

Other Identifiers

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

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