Organization
COASTAL CAROLINA CENTERS OF UROLOGY AND SURGERY LLC
Active
Other names
Rivertown Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA A MCCURDY (BUSINESS OFFICE MANAGER)
(843) 347-9587
Entity
Organization
Contact information
Practice address
822 FARRAR DR, CONWAY, SC 29526-8747
(843) 347-9587
Mailing address
822 FARRAR DR, CONWAY, SC 29526-8747
(843) 347-9587
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4062
—
SC
Enumeration date
06/05/2008
Last updated
06/02/2015
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