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COASTAL PEDIATRIC ASSOCIATES P.A. NPI 1770700759


NPI Information

NPI: 1770700759
Provider Name: COASTAL PEDIATRIC ASSOCIATES, P.A.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 42D2149745

Address:
2067 CHARLIE HALL BLVD
CHARLESTON, SC
ZIP 29414
Phone: (843) 573-2535
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COASTAL PEDIATRIC ASSOCIATES, P.A. is a pediatrics in Charleston, SC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. COASTAL PEDIATRIC ASSOCIATES, P.A. NPI is 1770700759. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2067 CHARLIE HALL BLVD
CHARLESTON, SC
ZIP 29414-834
Phone: (843) 573-2535
Fax: (843) 573-2534

The provider's authorized official is Robert Andrew Clifford .
The authorized official title is Partner and has the following contact phone number (843) 573-2535.

The CLIA number assigned to this NPI record is 42D2149745 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 5/21/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TH0100XPsychologistHealth ServiceNo
2208000000XPediatricsYes

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: 11/14/2023

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