# COASTAL VASCULAR AND VEIN INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Vascular and Vein Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578259750
- **Authorized official:** CRAIG KILGORE (CEO)
- **Authorized official phone:** (423) 646-1033

## Contact information

- **Practice address:** 1229 NEXTON PKWY, SUMMERVILLE, SC 29486-2167
- **Practice address phone:** (843) 577-4551
- **Mailing address:** 1327 ASHLEY RIVER RD, CHARLESTON, SC 29407-5384
- **Mailing address phone:** (843) 577-4551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/12/2023
- **Last updated:** 11/19/2025