Organization
COASTALSURG, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JAMES BUMGARDNER (PRESIDENT)
(843) 607-6516
Entity
Organization
Contact information
Practice address
4466 DOWNING PLACE WAY, MT PLEASANT, SC 29466-8068
(843) 607-6515
(843) 884-4723
Mailing address
4466 DOWNING PLACE WAY, MT PLEASANT, SC 29466-8068
(843) 607-6515
(843) 884-4723
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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