Organization
COASTAL EYE GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL L. RATELIFF (OFFICE MANAGER)
(843) 546-8421
Entity
Organization
Contact information
Practice address
1200 HIGHMARKET ST STE 200, GEORGETOWN, SC 29440-3227
(843) 546-8421
(843) 652-1173
Mailing address
1200 HIGHMARKET ST STE 200, P.O. BOX 2900, GEORGETOWN, SC 29440-3227
(843) 546-8421
(843) 652-1173
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC0502
—
SC
Enumeration date
01/22/2007
Last updated
10/16/2007
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