Organization
COASTAL CAROLINA PHYSICIAN PRACTICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
(404) 265-5009
Entity
Organization
Contact information
Practice address
1000 MEDICAL CENTER DR, HARDEEVILLE, SC 29927-3446
(843) 784-8000
(843) 784-8001
Mailing address
1000 MEDICAL CENTER DR, HARDEEVILLE, SC 29927-3446
(843) 784-8000
(843) 784-8001
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
09/20/2006
Last updated
05/26/2016
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