# COASTAL PODIATRY ASSOCIATES PA

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

## Provider details

- **NPI number:** 1578696647
- **Authorized official:** SCOTT A WERTER DPM (PARTNER)
- **Authorized official phone:** (843) 449-8079

## Contact information

- **Practice address:** 956 INTERNATIONAL DR, MYRTLE BEACH, SC 29579-3488
- **Practice address phone:** (843) 449-8079
- **Practice address fax:** (843) 497-6147
- **Mailing address:** 8141 ROURK DRIVE, MYRTLE BEACH, SC 29572
- **Mailing address phone:** (843) 449-8079
- **Mailing address fax:** (843) 497-6147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | SC | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | SC | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 04/04/2024