COASTAL CAROLINA PRIMARY CARE, LLC

MONCKS CORNER, SC
NPI1164783643
Entity TypeOrganization
Authorized ContactWAYNE O WHINNEY
Authorized Official
843-856-7924
Organization Subpart ?No
Primary Taxonomy261QR1300X Clinic/Center, Rural Health
Enumeration Date2012-05-31
Last Update Date2012-05-31
Business Address
COASTAL CAROLINA PRIMARY CARE, LLC
106 W MAIN ST
MONCKS CORNER, SC 29461-2601
Phone number: 843-761-1995
Mailing Address
COASTAL CAROLINA PRIMARY CARE, LLC
106 W MAIN ST
MONCKS CORNER, SC 29461-2601
Phone number: 843-761-1995
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