Organization
COASTAL VASCULAR & VEIN CENTER PA
Active
Organization
COASTAL VASCULAR & VEIN CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN CARTER CMP, CPM, CHM (CHIEF ADMINISTRATIVE OFFICER)
(843) 300-3583
Entity
Organization
Contact information
Practice address
2575 ELMS CENTER RD STE 200, N CHARLESTON, SC 29406-9875
(843) 577-4551
(843) 577-2227
Mailing address
2575 ELMS CENTER RD STE 200, N CHARLESTON, SC 29406-9875
(843) 577-4551
(843) 577-2227
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE3876
—
SC
Enumeration date
08/17/2021
Last updated
08/17/2021
Update your record
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