Trident Nephrology Llc

LBN: Coastal Carolina Nephrology Llc
Trident Nephrology Llc is an health care organization with primary practice located at 1938-A Charlie Hall Blvd , Charleston SC 29414-5837. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Coastal Carolina Nephrology Llc can be contacted via phone (843) 554-9313, or through Stewart, Lisa R via phone (843) 554-9313.

Contact Information

Primary practice address
1938-A Charlie Hall Blvd Charleston SC 29414-5837
Phone: (843) 554-9313
Fax: (843) 744-5961
Website:
Map and Directions
Authorized official contact:
Name: Stewart, Lisa R Doctor of Medicine (MD)
Phone: (843) 554-9313

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1679554752
LBN Legal business name Coastal Carolina Nephrology Llc
DBA Doing business as Trident Nephrology Llc
Authorized official Stewart, Lisa R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2005
Last updated Aug 29th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679554752 NPPES
Other 8172 MEDICARE GROUP
Other GP2967 MEDICARE GROUP

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