Coastal Pediatrics

LBN: Coastal Pediatrics
Coastal Pediatrics is an health care organization with primary practice located at 8030 Myrtle Trace Dr , Conway SC 29526-8945. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Coastal Pediatrics can be contacted via phone (843) 347-4677, or through Ard, Bobbie J via phone (843) 347-4677.

Contact Information

Primary practice address
8030 Myrtle Trace Dr Conway SC 29526-8945
Phone: (843) 347-4677
Fax: (843) 347-4678
Website:
Map and Directions
Authorized official contact:
Name: Ard, Bobbie J
Phone: (843) 347-4677

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X South Carolina

Profile Details

NPI number 1982012829
LBN Legal business name Coastal Pediatrics
DBA Doing business as
Authorized official Ard, Bobbie J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2014
Last updated Jul 21st, 2022 - about 4 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 1982012829 NPPES
South Carolina MEDICAID PC0593

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