# COASTAL RECOVERY OF SOUTH CAROLINA

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

## Provider details

- **NPI number:** 1639441223
- **Authorized official:** DR. GERALD FRANCIS CONGDON M.D. (MANAGING PHYSICIAN)
- **Authorized official phone:** (888) 467-1117

## Contact information

- **Practice address:** 201 BUSINESS CENTER DR, PAWLEYS ISLAND, SC 29585-6522
- **Practice address phone:** (888) 467-1117
- **Mailing address:** 201 BUSINESS CENTER DR, PAWLEYS ISLAND, SC 29585-6522
- **Mailing address phone:** (888) 467-1117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2012
- **Last updated:** 09/24/2015