# SOUTHERN COAST SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHERN COAST SPECIALISTS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154935856
- **Legal business name:** SOUTHERN COAST SPECIALISTS, LLC
- **Authorized official:** DR. SABINO D'AGOSTINO DO (OWNER/MEDICAL DOCTOR)
- **Authorized official phone:** (843) 553-7615

## Contact information

- **Practice address:** 1000 PINE ST W, VARNVILLE, SC 29944-4750
- **Practice address phone:** (843) 476-4702
- **Mailing address:** 1055 RIBAUT RD STE 30, BEAUFORT, SC 29902-5447
- **Mailing address phone:** (843) 476-4702
- **Mailing address fax:** (843) 476-4290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2020
- **Last updated:** 09/01/2020