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1295983096
COASTAL CAROLINA BREAST CENTER LLC
MURRELLS INLET, SC
NPI
1295983096
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Entity Type
Organization
Authorized Contact
JOY L CIAPPETTA
Administrator
843-651-3308
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2008-09-04
Last Update Date
2008-10-10
Business Address
COASTAL CAROLINA BREAST CENTER LLC
4181 HIGHWAY 17
MURRELLS INLET, SC 29576-5019
Phone number: 843-651-3308
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Mailing Address
COASTAL CAROLINA BREAST CENTER LLC
4181 HIGHWAY 17 P O BOX 3217
MURRELLS INLET, SC 29576-5019
Phone number: 843-651-3308
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