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Organization
COASTAL PODIATRY ASSOCIATES PA
Active
Organization
COASTAL PODIATRY ASSOCIATES PA
Active
Parent organization
COASTAL PODIATRY ASSOCIATES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL PODIATRY ASSOCIATES PA
Authorized official
SCOTT A WERTER DPM (OWNER)
(843) 449-8079
Entity
Organization
Contact information
Practice address
8020 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 449-8079
Mailing address
8141 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 449-8079
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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