COASTAL CAROLINA PRIMARY CARE, LLC

LADSON, SC
NPI1942522719
Doing Business AsDOC AT THE DOOR
Entity TypeOrganization
Authorized ContactWAYNE O. WINNEY
Vice President
843-847-4054
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2010-02-22
Last Update Date2010-05-05
Business Address
COASTAL CAROLINA PRIMARY CARE, LLC
3601 LADSON RD SUITE 101
LADSON, SC 29456-4304
Phone number: 843-821-0733
Mailing Address
COASTAL CAROLINA PRIMARY CARE, LLC
3601 LADSON RD SUITE 101
LADSON, SC 29456-4304
Phone number: 843-821-0733