Organization
SOUTH COAST GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY B PRICE (BILLING ADMINISTRATOR)
(843) 669-5162
Entity
Organization
Contact information
Practice address
2891 TRICOM ST STE B, N CHARLESTON, SC 29406-7110
(843) 718-2676
(843) 718-2675
Mailing address
PO BOX 100523, FLORENCE, SC 29502-0523
(843) 669-5162
(843) 667-4573
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
331
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5658
—
SC
Enumeration date
03/24/2011
Last updated
03/10/2016
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