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Organization
COASTAL CAROLINA UNIVERSITY STUDENT HEALTH SERVICES
Active
Organization
COASTAL CAROLINA UNIVERSITY STUDENT HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAESAR ROSS (DIRECTOR)
(843) 349-6543
Entity
Organization
Contact information
Practice address
204 UNIVERSITY BLVD, CONWAY, SC 29526-8834
(843) 349-6543
Mailing address
PO BOX 261954, CONWAY, SC 29528-6054
(843) 349-6543
(843) 349-6546
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
27353
SC
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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