| NPI | 1144526500 |
|---|---|
| Doing Business As | COASTAL CAROLINA MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | RON O. GROTELUSCHEN CFO 843-784-8076 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2022-03-22 |