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Organization
THE COLORECTAL ENDOSURGERY INSTITUTE OF THE CAROLINAS
Active
Organization
THE COLORECTAL ENDOSURGERY INSTITUTE OF THE CAROLINAS
Active
Parent organization
GASTROINTESTINAL SURGICAL SPECIALISTS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTROINTESTINAL SURGICAL SPECIALISTS, LLC
Authorized official
DR. RUDOLPH B RUSTIN M.D. (OWNER)
(843) 853-7730
Entity
Organization
Contact information
Practice address
1439 STUART ENGALS BLVD, SUITE 100, MT PLEASANT, SC 29464-3305
(843) 853-7730
(843) 722-8766
Mailing address
1439 STUART ENGALS BLVD, SUITE 100, MT PLEASANT, SC 29464-3305
(843) 853-7730
(843) 722-8766
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/30/2008
Last updated
12/14/2012
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