Southern Coast Specialists, LLC
Neurological Surgery in Bluffton, SC. Organization (NPI-2).
NPI number1982246633
StatusActive
Last updated in NPPESOct 15, 2019
Details
- NPI
- 1982246633
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern Coast Specialists, LLC
- Organization subpart
- No
- Enumeration date
- Oct 15, 2019
- Last updated
- Oct 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | |
| 2083X0100X | Preventive Medicine, Occupational Medicine | – | – | |
| 208VP0000X | – | – | ||
| 363A00000X | Physician Assistant | – | – |
Practice location
16 Okatie Center Blvd S Ste 201Bluffton, SC 29909-7544
Phone 843-870-8127
Mailing address
9565 Highway 78 Bldg 100Ladson, SC 29456-4118
Authorized official
Cody L Palmer
Ceo
8438708127
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