# THE COLORECTAL ENDOSURGERY INSTITUTE OF THE CAROLINAS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GASTROINTESTINAL SURGICAL SPECIALISTS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073789020
- **Legal business name:** GASTROINTESTINAL SURGICAL SPECIALISTS, LLC
- **Authorized official:** DR. RUDOLPH B RUSTIN M.D. (OWNER)
- **Authorized official phone:** (843) 853-7730

## Contact information

- **Practice address:** 1439 STUART ENGALS BLVD, SUITE 100, MT PLEASANT, SC 29464-3305
- **Practice address phone:** (843) 853-7730
- **Practice address fax:** (843) 722-8766
- **Mailing address:** 1439 STUART ENGALS BLVD, SUITE 100, MT PLEASANT, SC 29464-3305
- **Mailing address phone:** (843) 853-7730
- **Mailing address fax:** (843) 722-8766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 12/14/2012