# COASTAL HEALTHCARE RESOURCES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467635128
- **Authorized official:** DR. GERALD C HAMRICK JR. MD (CEO)
- **Authorized official phone:** (866) 877-2762

## Contact information

- **Practice address:** 1807 W EVANS ST STE C, FLORENCE, SC 29501-3374
- **Practice address phone:** (866) 877-2762
- **Practice address fax:** (866) 992-7144
- **Mailing address:** PO BOX 6467, FLORENCE, SC 29502-6467
- **Mailing address phone:** (866) 877-2762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 12/17/2007
- **Last updated:** 01/13/2021