Organization
COASTAL GASTROENTEROLOGY & HEPATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID BOHLER M.D. (OWNER)
(843) 556-1285
Entity
Organization
Contact information
Practice address
1616 ASHLEY RIVER RD, CHARLESTON, SC 29407-5902
(843) 556-1285
(843) 556-1286
Mailing address
PO BOX 31297, CHARLESTON, SC 29417-1297
(843) 556-1285
(843) 556-1286
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
21101
SC
Other
Enumeration date
03/24/2008
Last updated
02/24/2011
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