COASTAL CAROLINA SURGICAL ASSOC

BEAUFORT, SC
NPI1831252477
Entity TypeOrganization
Authorized ContactLORI NOEL MOCK
Practice Administrator
843-524-8171
Organization Subpart ?No
Primary Taxonomy2086S0129X 
Additional Taxonomies208600000X Surgery
Enumeration Date2006-12-18
Last Update Date2025-09-11
Business Address
COASTAL CAROLINA SURGICAL ASSOC
1055 RIBAUT ROAD SUITE 30
BEAUFORT, SC 29902-5447
Phone number: 843-524-8171
Mailing Address
COASTAL CAROLINA SURGICAL ASSOC
1055 RIBAUT ROAD SUITE 30
BEAUFORT, SC 29902-5447
Phone number: 843-524-8171