Organization
COASTAL RECOVERY OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD FRANCIS CONGDON M.D. (MANAGING PHYSICIAN)
(888) 467-1117
Entity
Organization
Contact information
Practice address
201 BUSINESS CENTER DR, PAWLEYS ISLAND, SC 29585-6522
(888) 467-1117
Mailing address
201 BUSINESS CENTER DR, PAWLEYS ISLAND, SC 29585-6522
(888) 467-1117
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2012
Last updated
09/24/2015
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