Organization
COASTAL PLAINS PHYSICIAN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE HAMILL (CEO)
(803) 943-1251
Entity
Organization
Contact information
Practice address
595 W CAROLINA AVE, VARNVILLE, SC 29944-4735
(803) 943-1239
(803) 943-1240
Mailing address
595 W CAROLINA AVE, PO BOX 988, VARNVILLE, SC 29944-4735
(803) 943-1239
(803) 943-1240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25030796-6
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
25030796-6
SC
2085R0202X
Diagnostic Radiology Physician
Primary
25030796-6
SC
208600000X
Surgery Physician
25030796-6
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3207
—
SC
Enumeration date
05/24/2006
Last updated
05/30/2023
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