Coastal Carolina Physician Practices Llc | |
29 Plantation Park Dr Suite 204 Bluffton SC 29910-9001 | |
(843) 836-3667 | |
(843) 836-3677 |
Full Name | Coastal Carolina Physician Practices Llc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 29 Plantation Park Dr, Bluffton, South Carolina |
Authorized Official Name and Position | George W Warner (PHYSICIAN) |
Authorized Official Contact | 8438363667 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coastal Carolina Physician Practices Llc Po Box 1109 Hardeeville SC 29927-1109 Ph: (843) 836-3667 | Coastal Carolina Physician Practices Llc 29 Plantation Park Dr Suite 204 Bluffton SC 29910-9001 Ph: (843) 836-3667 |
NPI Number | 1487761318 |
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Provider Enumeration Date | 08/24/2006 |
Last Update Date | 01/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487761318 | NPI | - | NPPES |
GP4679 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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