Organization
COASTAL PODIATRY ASSOCIATES, PA
Active
Parent organization
COASTAL PODIATRY ASSOCIATES, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL PODIATRY ASSOCIATES, PA
Authorized official
DR. SCOTT A. HAMILTON DPM (MEDICAL DIRECTOR)
(843) 449-8079
Entity
Organization
Contact information
Practice address
8141 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 449-8079
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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