Organization
COASTAL PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAHN A RAVENELL DPM (PARTNER)
(843) 856-5337
Entity
Organization
Contact information
Practice address
180 WINGO WAY, SUITE 101, MOUNT PLEASANT, SC 29464-1810
(843) 856-5337
(843) 856-5339
Mailing address
180 WINGO WAY, SUITE 101, MOUNT PLEASANT, SC 29464-1810
(843) 856-5337
(843) 856-5339
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
603
SC
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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