Organization
STAT SURGICAL ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH LOUISE COLN (OFFICE MANAGER)
(843) 266-6343
Entity
Organization
Contact information
Practice address
1483 TOBIAS GADSON BLVD, SUITE 202B, CHARLESTON, SC 29407
(843) 266-6343
(843) 266-6353
Mailing address
1483 TOBIAS GADSON BLVD, SUITE 202B, CHARLESTON, SC 29407
(843) 266-6343
(843) 266-6353
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
04/09/2008
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