COASTAL ANESTHESIA MEDICAL GROUP, LLC

MYRTLE BEACH, SC
NPI1609813179
Entity TypeOrganization
Authorized ContactJOSEPH MAGGIONCALDA
Pres
843-692-1721
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
Enumeration Date2006-06-01
Last Update Date2007-09-13
Business Address
COASTAL ANESTHESIA MEDICAL GROUP, LLC
809 82ND PARKWAY
MYRTLE BEACH, SC 29572-4607
Phone number: 843-692-1062
Mailing Address
COASTAL ANESTHESIA MEDICAL GROUP, LLC
PO BOX 1792
COLUMBIA, SC 29202-1792
Phone number: 843-692-1721
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