# STAT SURGICAL ASSOC INC

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

## Provider details

- **NPI number:** 1801960018
- **Authorized official:** MS. DEBORAH LOUISE COLN (OFFICE MANAGER)
- **Authorized official phone:** (843) 266-6343

## Contact information

- **Practice address:** 1483 TOBIAS GADSON BLVD, SUITE 202B, CHARLESTON, SC 29407
- **Practice address phone:** (843) 266-6343
- **Practice address fax:** (843) 266-6353
- **Mailing address:** 1483 TOBIAS GADSON BLVD, SUITE 202B, CHARLESTON, SC 29407
- **Mailing address phone:** (843) 266-6343
- **Mailing address fax:** (843) 266-6353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 04/09/2008