| Coastal Medical Associates | |
|
10911 N Jacob Smart Blvd D Ridgeland SC 29936-2729 | |
| (843) 784-3101 | |
| (843) 784-5313 |
| Full Name | Coastal Medical Associates |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 10911 N Jacob Smart Blvd, Ridgeland, South Carolina |
| Authorized Official Name and Position | Ron Groteluschen (CFO) |
| Authorized Official Contact | 8437848076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Medical Associates Po Box 741261 Atlanta GA 30374-1261 Ph: (843) 784-3101 | Coastal Medical Associates 10911 N Jacob Smart Blvd D Ridgeland SC 29936-2729 Ph: (843) 784-3101 |
| NPI Number | 1124307509 |
|---|---|
| Provider Enumeration Date | 08/16/2011 |
| Last Update Date | 03/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124307509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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