Organization
COASTAL CAROLINA UNIVERSITY STUDENT HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAESAR ROSS (DIRECTOR)
(843) 349-6543
Entity
Organization
Contact information
Practice address
204 UNIVERSITY BLVD, CONWAY, SC 29526-8834
(843) 349-6543
Mailing address
PO BOX 261954, CONWAY, SC 29528-6054
(843) 349-6543
(843) 349-6546
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
27353
SC
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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