COASTAL CAROLINA UNIVERSITY

CONWAY, SC
NPI1710136908
Entity TypeOrganization
Authorized ContactJILL MICHAEL
Nirse Practitioner
843-349-6543
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: SC  3684)
Enumeration Date2008-09-12
Last Update Date2008-09-12
Business Address
COASTAL CAROLINA UNIVERSITY
204 UNIVERSITY BLVD
CONWAY, SC 29526-8834
Phone number: 843-649-6543
Mailing Address
COASTAL CAROLINA UNIVERSITY
204 UNIVERSITY BLVD
CONWAY, SC 29526-8834
Phone number: 843-649-6543
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