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Organization
COASTAL RECOVERY OF SOUTH CAROLINA
Active
Organization
COASTAL RECOVERY OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD FRANCIS CONGDON M.D. (MANAGING PHYSICIAN)
(888) 467-1117
Entity
Organization
Contact information
Practice address
201 BUSINESS CENTER DR, PAWLEYS ISLAND, SC 29585-6522
(888) 467-1117
Mailing address
201 BUSINESS CENTER DR, PAWLEYS ISLAND, SC 29585-6522
(888) 467-1117
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/30/2012
Last updated
09/24/2015
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