Organization
SOUTHERN COAST SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABINO DAGOSTINO DO (MANAGING MEMBER)
(843) 553-7615
Entity
Organization
Contact information
Practice address
9565 HIGHWAY 78, BLDG 100, LADSON, SC 29456
(843) 553-7615
(843) 553-1008
Mailing address
9565 HIGHWAY 78, BLDG 100, LADSON, SC 29456
(843) 553-7615
(843) 553-1008
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
09/16/2019
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