Organization
COASTAL MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA SPITULSKI (OWNER)
(843) 693-6200
Entity
Organization
Contact information
Practice address
616 CHURCHILL RD, WALTERBORO, SC 29488-3622
(843) 693-6200
(513) 858-7827
Mailing address
616 CHURCHILL RD, WALTERBORO, SC 29488-3622
(843) 693-6200
(513) 858-7827
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
630
SC
Other
Enumeration date
08/13/2013
Last updated
03/22/2016
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