Organization
COASTAL VASCULAR AND VEIN INSTITUTE LLC
Active
Other names
Coastal Vascular and Vein Center
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG KILGORE (CEO)
(423) 646-1033
Entity
Organization
Contact information
Practice address
1229 NEXTON PKWY, SUMMERVILLE, SC 29486-2167
(843) 577-4551
Mailing address
1327 ASHLEY RIVER RD, CHARLESTON, SC 29407-5384
(843) 577-4551
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023157575
—
SC
Enumeration date
04/12/2023
Last updated
11/19/2025
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