Organization
COASTAL CAROLINA MULTISPECIALTY ASSOCS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PICKETT (VICE-PRESIDENT OF OPERATIONS)
(678) 762-5037
Entity
Organization
Contact information
Practice address
9221 UNIVERSITY BLVD, SUITE 102, NORTH CHARLESTON, SC 29406-9148
(843) 576-0700
(843) 576-0701
Mailing address
9221 UNIVERSITY BLVD, SUITE 102, NORTH CHARLESTON, SC 29406-9148
(843) 576-0700
(843) 576-0701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP 4508
—
SC
Enumeration date
08/23/2006
Last updated
10/31/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us