Organization
COASTAL HEALTHCARE RESOURCES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD C HAMRICK JR. MD (CEO)
(866) 877-2762
Entity
Organization
Contact information
Practice address
1807 W EVANS ST STE C, FLORENCE, SC 29501-3374
(866) 877-2762
(866) 992-7144
Mailing address
PO BOX 6467, FLORENCE, SC 29502-6467
(866) 877-2762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
12/17/2007
Last updated
01/13/2021
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