# SOUTH COAST GASTROENTEROLOGY

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

## Provider details

- **NPI number:** 1811296239
- **Authorized official:** POLLY B PRICE (BILLING ADMINISTRATOR)
- **Authorized official phone:** (843) 669-5162

## Contact information

- **Practice address:** 2891 TRICOM ST STE B, N CHARLESTON, SC 29406-7110
- **Practice address phone:** (843) 718-2676
- **Practice address fax:** (843) 718-2675
- **Mailing address:** PO BOX 100523, FLORENCE, SC 29502-0523
- **Mailing address phone:** (843) 669-5162
- **Mailing address fax:** (843) 667-4573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 331 | SC | Yes |

## Other

- **Enumeration date:** 03/24/2011
- **Last updated:** 03/10/2016
