Organization
COASTAL CAROLINA BREAST CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY L CIAPPETTA (ADMINISTRATOR)
(843) 651-3308
Entity
Organization
Contact information
Practice address
4181 HIGHWAY 17, MURRELLS INLET, SC 29576-5019
(843) 651-3308
(843) 651-4629
Mailing address
4181 HIGHWAY 17, P O BOX 3217, MURRELLS INLET, SC 29576-5019
(843) 651-3308
(843) 651-4629
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/04/2008
Last updated
10/10/2008
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