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COASTAL CAROLINA BREAST CENTER LLC NPI 1295983096


NPI Information

NPI: 1295983096
Provider Name: COASTAL CAROLINA BREAST CENTER LLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
4181 HIGHWAY 17
MURRELLS INLET, SC
ZIP 29576
Phone: (843) 651-3308
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COASTAL CAROLINA BREAST CENTER LLC is a surgery in Murrells Inlet, SC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. COASTAL CAROLINA BREAST CENTER LLC NPI is 1295983096. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4181 HIGHWAY 17
MURRELLS INLET, SC
ZIP 29576-019
Phone: (843) 651-3308
Fax: (843) 651-4629

The provider's authorized official is Joy L Ciappetta .
The authorized official title is Administrator and has the following contact phone number (843) 651-3308.

The enumeration date for this NPI number is 9/4/2008 and was last updated on 10/10/2008.


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
1208600000XSurgeryYes

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
1F31432MEDICARE UPINSOUTH 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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