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Organization
COASTAL INPATIENT PHYSICIANS, LLC
Active
Organization
COASTAL INPATIENT PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FAILE (VICE PRESIDENT)
(843) 856-7923
Entity
Organization
Contact information
Practice address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 847-3225
(843) 847-3247
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4525
—
SC
Enumeration date
08/23/2006
Last updated
03/27/2020
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