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Organization

SOUTHERN COAST SPECIALISTS, LLC

Active
Parent organization
SOUTHERN COAST SPECIALISTS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHERN COAST SPECIALISTS, LLC
Authorized official
DR. SABINO D'AGOSTINO DO (OWNER/MEDICAL DOCTOR)
(843) 553-7615
Entity
Organization

Contact information

Practice address
1000 PINE ST W, VARNVILLE, SC 29944-4750
(843) 476-4702
Mailing address
1055 RIBAUT RD STE 30, BEAUFORT, SC 29902-5447
(843) 476-4702
(843) 476-4290

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP9372
SC
Enumeration date
09/01/2020
Last updated
09/01/2020
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