Coastal Gynecology And Obstetrics Pa

LBN: Coastal Gynecology And Obstetrics Pa
Coastal Gynecology And Obstetrics Pa is an health care organization with primary practice located at 2093 Henry Tecklenburg Dr Suite 304 East, Charleston SC 29414-5741. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Coastal Gynecology And Obstetrics Pa can be contacted via phone (843) 571-0200, or through Boatwright, Harry Wade via phone (843) 571-0200.

Contact Information

Primary practice address
2093 Henry Tecklenburg Dr Suite 304 East Charleston SC 29414-5741
Fax: (866) 848-8485
Website:
Authorized official contact:
Name: Boatwright, Harry Wade Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 12402 South Carolina

Profile Details

NPI number 1659458966
LBN Legal business name Coastal Gynecology And Obstetrics Pa
DBA Doing business as
Authorized official Boatwright, Harry Wade Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 25th, 2012 - about 14 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 1659458966 NPPES
South Carolina MEDICAID GP1725

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