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COASTAL CAROLINA PHYSICIAN PRACTICES LLC NPI 1174648802


NPI Information

NPI: 1174648802
Provider Name: COASTAL CAROLINA PHYSICIAN PRACTICES LLC

Doing Business As: COASTAL CAROLINA EAR NOSE AND THROAT

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
1010 MEDICAL CENTER DR
SUITE 210
HARDEEVILLE, SC
ZIP 29927
Phone: (843) 784-7160
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COASTAL CAROLINA PHYSICIAN PRACTICES LLC is an otolaryngology in Hardeeville, SC. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. COASTAL CAROLINA PHYSICIAN PRACTICES LLC NPI is 1174648802. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Coastal Carolina Ear Nose And Throat.

The provider's business location address is:

1010 MEDICAL CENTER DR
SUITE 210
HARDEEVILLE, SC
ZIP 29927-447
Phone: (843) 784-7160
Fax: (843) 784-7161

The provider's authorized official is Robert Klein .
The authorized official title is Division President and has the following contact phone number (615) 372-8500.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.


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
1207Y00000XOtolaryngology18548SOUTH CAROLINAYes

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
1PENDINGMEDICAIDSOUTH CAROLINA

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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