Coastal Carolina Ob Gyn Llc

LBN: Coastal Carolina Ob Gyn Llc
Coastal Carolina Ob Gyn Llc is an health care organization with primary practice located at 620 Singleton Ridge Rd , Conway SC 29526-9154. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Coastal Carolina Ob Gyn Llc can be contacted via phone (843) 349-0100, or through Whitestone, Teresa via phone (843) 349-0100.

Contact Information

Primary practice address
620 Singleton Ridge Rd Conway SC 29526-9154
Phone: (843) 349-0100
Fax: (843) 349-0104
Website:
Map and Directions
Authorized official contact:
Name: Whitestone, Teresa
Phone: (843) 349-0100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 115921 South Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 23311 South Carolina

Profile Details

NPI number 1134167158
LBN Legal business name Coastal Carolina Ob Gyn Llc
DBA Doing business as
Authorized official Whitestone, Teresa
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Mar 10th, 2015 - about 11 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 1134167158 NPPES
South Carolina MEDICAID GP3863

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