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1083110019
COASTAL PEDIATRIC ASSOCIATES, P.A.
CHARLESTON, SC
NPI
1083110019
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Entity Type
Organization
Authorized Contact
DANA WOLF
Director Of Quality Programs
843-284-4258
Organization Subpart ?
No
Primary Taxonomy
103TH0100X Psychologist, Health Service
Enumeration Date
2018-03-30
Last Update Date
2018-03-30
Business Address
COASTAL PEDIATRIC ASSOCIATES, P.A.
2051 CHARLIE HALL BLVD
CHARLESTON, SC 29414-5834
Phone number: 843-737-9467
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Mailing Address
COASTAL PEDIATRIC ASSOCIATES, P.A.
2051 CHARLIE HALL BLVD
CHARLESTON, SC 29414-5834
Phone number: 843-737-9467
Copy
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