Organization
COASTAL CARDIOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAN C. HENDRY (COO)
(843) 377-1804
Entity
Organization
Contact information
Practice address
1033 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7156
(843) 723-6161
(843) 723-0675
Mailing address
1033 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7156
(843) 723-6111
(843) 727-0973
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA9570
—
SC
Enumeration date
05/15/2006
Last updated
03/03/2020
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