COASTAL PLAINS PHYSICIAN ASSOCIATES NPI 1316992506

NPI Information

NPI: 1316992506
Provider Name: COASTAL PLAINS PHYSICIAN ASSOCIATES
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 42D1004850

Address:
595 W CAROLINA AVE
VARNVILLE, SC
ZIP 29944
Phone: (803) 943-1239
Get Directions

COASTAL PLAINS PHYSICIAN ASSOCIATES is a diagnostic radiology radiology in Varnville, SC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. COASTAL PLAINS PHYSICIAN ASSOCIATES NPI is 1316992506. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

595 W CAROLINA AVE
VARNVILLE, SC
ZIP 29944-735
Phone: (803) 943-1239
Fax: (803) 943-1240

The provider's authorized official is Dave Hamill .
The authorized official title is Ceo and has the following contact phone number (803) 943-1251.

The CLIA number assigned to this NPI record is 42D1004850 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 5/30/2023.

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	207R00000X	Internal Medicine		25030796-6	SOUTH CAROLINA	No
2	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	25030796-6	SOUTH CAROLINA	No
3	208600000X	Surgery		25030796-6	SOUTH CAROLINA	No
4	2085R0202X	Radiology	Diagnostic Radiology	25030796-6	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	GP3207	MEDICAID	SOUTH 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: 4/28/2024

NPI Synchronization or Removal

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