Organization
SOUTHCOAST FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT A HEDIN (OFFICE MANAGER)
(843) 706-5995
Entity
Organization
Contact information
Practice address
23 PLANTATION PARK DR, SUITE 403, BLUFFTON, SC 29910-6038
(843) 706-5995
(843) 706-5996
Mailing address
PO BOX 3980, BLUFFTON, SC 29910-3980
(843) 706-5995
(843) 706-5996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD19063
SC
Other
Enumeration date
10/16/2007
Last updated
08/12/2009
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