South Coast Gastroenterology | |
2891 Tricom St Ste B N Charleston SC 29406-7110 | |
(843) 718-2676 | |
(843) 718-2675 |
Full Name | South Coast Gastroenterology |
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Speciality | Internal Medicine - Gastroenterology |
Location | 2891 Tricom St Ste B, N Charleston, South Carolina |
Authorized Official Name and Position | Polly B Price (BILLING ADMINISTRATOR) |
Authorized Official Contact | 8436695162 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Coast Gastroenterology Po Box 100523 Florence SC 29502-0523 Ph: (843) 669-5162 | South Coast Gastroenterology 2891 Tricom St Ste B N Charleston SC 29406-7110 Ph: (843) 718-2676 |
NPI Number | 1811296239 |
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Provider Enumeration Date | 03/24/2011 |
Last Update Date | 03/10/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811296239 | NPI | - | NPPES |
GP5658 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 331 (South Carolina) | Primary |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2550 Elms Center Rd, N Charleston, SC 29406 Phone: 843-572-7727 Fax: 843-569-5872 |