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Organization

COASTAL PAIN AND SPINE CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSAN L CRAMER MD (OWNER/DOCTOR)
(843) 757-6744
Entity
Organization

Contact information

Practice address
38 SHERIDAN PARK CIR, SUITE F, BLUFFTON, SC 29910-7022
(843) 757-6744
(843) 757-6743
Mailing address
38 SHERIDAN PARK CIR, SUITE F, BLUFFTON, SC 29910-7022
(843) 757-6744
(843) 757-6743

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18399
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
183991
SC
01
8084
MEDICARE PTAN
SC
05
GP4057
SC
01
P00203769
RAILROAD MEDICARE ID NUMB
SC
Enumeration date
07/22/2006
Last updated
10/29/2013
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