| South Coast Gastroenterology | |
|
2891 Tricom St Ste B N Charleston SC 29406-7110 | |
| (843) 718-2676 | |
| (843) 718-2675 |
| Full Name | South Coast Gastroenterology |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
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