Organization
COASTAL CAROLINA MULTISPECIALTY ASSOCIATES, LLC
Active
Parent organization
COASTAL CAROLINA MULTISPECIALTY ASSOCIATES, LLC
Other names
Coastal Carolina Surgical Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL CAROLINA MULTISPECIALTY ASSOCIATES, LLC
Authorized official
ROBERT FAILE (VICE PRESIDENT)
(843) 856-7923
Entity
Organization
Contact information
Practice address
295A MIDLAND PKWY STE 120, SUMMERVILLE, SC 29485-5901
(843) 875-8994
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4508
—
SC
Enumeration date
08/31/2006
Last updated
03/13/2026
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