# COASTAL EYE GROUP, P.C.

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

## Provider details

- **NPI number:** 1821142720
- **Authorized official:** MRS. CAROL L. RATELIFF (OFFICE MANAGER)
- **Authorized official phone:** (843) 546-8421

## Contact information

- **Practice address:** 1200 HIGHMARKET ST STE 200, GEORGETOWN, SC 29440-3227
- **Practice address phone:** (843) 546-8421
- **Practice address fax:** (843) 652-1173
- **Mailing address:** 1200 HIGHMARKET ST STE 200, P.O. BOX 2900, GEORGETOWN, SC 29440-3227
- **Mailing address phone:** (843) 546-8421
- **Mailing address fax:** (843) 652-1173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 10/16/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PC0502 | — | SC |