Organization
COASTAL NEUROSURGICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABINO DAGOSTINO DO (OWNER)
(843) 813-6364
Entity
Organization
Contact information
Practice address
9313 MEDICAL PLAZA DR STE 305, NORTH CHARLESTON, SC 29406-9197
(843) 553-7615
Mailing address
1 26TH AVE, ISLE OF PALMS, SC 29451-2311
(843) 813-6364
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
DO789
SC
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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