| Coastal Carolina University Student Health Services | |
|
204 University Blvd Conway SC 29526-8834 | |
| (843) 349-6543 | |
| Not Available |
| Full Name | Coastal Carolina University Student Health Services |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 204 University Blvd, Conway, South Carolina |
| Authorized Official Name and Position | Caesar Ross (DIRECTOR) |
| Authorized Official Contact | 8433496543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Carolina University Student Health Services Po Box 261954 Conway SC 29528-6054 Ph: (843) 349-6543 | Coastal Carolina University Student Health Services 204 University Blvd Conway SC 29526-8834 Ph: (843) 349-6543 |
| NPI Number | 1083800858 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 09/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083800858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | 27353 (South Carolina) | Primary |
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