# COASTAL PODIATRY ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COASTAL PODIATRY ASSOCIATES, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871849521
- **Legal business name:** COASTAL PODIATRY ASSOCIATES, PA
- **Authorized official:** DR. SCOTT A. HAMILTON DPM (MEDICAL DIRECTOR)
- **Authorized official phone:** (843) 449-8079

## Contact information

- **Practice address:** 8141 ROURK ST, MYRTLE BEACH, SC 29572-4128
- **Practice address phone:** (843) 449-8079
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 07/31/2012
- **Last updated:** 07/31/2012