| NPI | 1578259750 |
|---|---|
| Doing Business As | COASTAL VASCULAR AND VEIN CENTER |
| Entity Type | Organization |
| Authorized Contact | ADAM JAMES KEEFER Medical Director/CEO 843-577-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-12-29 |