| NPI | 1518079102 |
|---|---|
| Doing Business As | COASTAL CAROLINA SURGICAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | ROBERT FAILE Vice President 843-856-7923 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 2085R0001X Radiology, Radiation Oncology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-01-21 |