Organization
COASTAL CAROLINA PHYSICIAN PRACTICES, LLC
Active
Other names
Southern Surgical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
(404) 265-5009
Entity
Organization
Contact information
Practice address
408 JACKSON AVE E, HAMPTON, SC 29924-3602
(803) 943-4003
(803) 943-4701
Mailing address
408 JACKSON AVE E, HAMPTON, SC 29924-3602
(803) 943-4003
(803) 943-4701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
05/26/2016
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