Organization
COASTAL INPATIENT PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PICKETT (VICE-PRESIDENT OF OPERATIONS)
(678) 762-5037
Entity
Organization
Contact information
Practice address
295 MIDLAND PARKWAY, SUMMERVILLE, SC 29483
(843) 824-3225
(843) 824-3547
Mailing address
295 MIDLAND PKWY, SUMMERVILLE, SC 29485-8104
(843) 824-3225
(843) 824-3547
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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