Organization
COASTAL CAROLINA MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS ANTHONY RACZ (PARTNER)
(843) 735-2207
Entity
Organization
Contact information
Practice address
106 PINE CT, SUMMERVILLE, SC 29483-8283
(843) 735-2207
Mailing address
106 PINE CT, SUMMERVILLE, SC 29483-8283
(843) 735-2207
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SC
Other
Enumeration date
02/26/2007
Last updated
07/25/2008
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