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Coastal Pediatrics

Pediatrics in Conway, SC. Organization (NPI-2).

NPI number1982012829
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1982012829
Entity type
Organization (NPI-2)
Legal business name
Coastal Pediatrics
Organization subpart
No
Enumeration date
Jul 23, 2014
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics–SCYes

Practice location

8030 Myrtle Trace Dr
Conway, SC 29526-8945

Phone 843-347-4677 · Fax 843-347-4678

Mailing address

8030 Myrtle Trace Dr
Conway, SC 29526-8945

Phone 843-347-4677 · Fax 843-347-4678

Authorized official

Bobbie J Ard
Practice Manage
8433474677

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