| NPI | 1245772672 |
|---|---|
| Former Legal Business Name | COASTAL CONCIERGE CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER W. LEBLANC Owner/Physician 843-815-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC MDO 985 DO) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2018-05-22 |