Organization
COASTAL PODIATRY ASSOCIATES PA
Active
Parent organization
COASTAL PODIATRY ASSOCIATES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL PODIATRY ASSOCIATES PA
Authorized official
SCOTT A WERTER DPM (OWNER)
(843) 449-8079
Entity
Organization
Contact information
Practice address
8020 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 449-8079
Mailing address
8141 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 449-8079
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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