| Coastal Pediatric Associates, P.a. | |
|
2051 Charlie Hall Blvd Charleston SC 29414-5834 | |
| (843) 737-9467 | |
| (843) 371-5507 |
| Full Name | Coastal Pediatric Associates, P.a. |
|---|---|
| Speciality | Psychologist - Health Service |
| Location | 2051 Charlie Hall Blvd, Charleston, South Carolina |
| Authorized Official Name and Position | Dana Wolf (DIRECTOR OF QUALITY PROGRAMS) |
| Authorized Official Contact | 8432844258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Pediatric Associates, P.a. 2051 Charlie Hall Blvd Charleston SC 29414-5834 Ph: (843) 737-9467 | Coastal Pediatric Associates, P.a. 2051 Charlie Hall Blvd Charleston SC 29414-5834 Ph: (843) 737-9467 |
| NPI Number | 1083110019 |
|---|---|
| Provider Enumeration Date | 03/30/2018 |
| Last Update Date | 03/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083110019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Primary |
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