Organization
COASTAL CAROLINA PHYSICIAN PRACTICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE W WARNER MD (PHYSICIAN)
(843) 836-3667
Entity
Organization
Contact information
Practice address
29 PLANTATION PARK DR, SUITE 204, BLUFFTON, SC 29910-9001
(843) 836-3667
(843) 836-3677
Mailing address
PO BOX 1109, HARDEEVILLE, SC 29927-1109
(843) 836-3667
(843) 836-3677
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4679
—
SC
Enumeration date
08/24/2006
Last updated
01/18/2008
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