| Coastal Carolina Medical Center, Inc | |
|
10911 North Jacob Smart Blvd #d Ridgeland SC 29936-2729 | |
| (843) 784-3101 | |
| (843) 784-5313 |
| Full Name | Coastal Carolina Medical Center, Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 10911 North Jacob Smart Blvd, Ridgeland, South Carolina |
| Authorized Official Name and Position | Michael Kyle Burtnett (SVP OF OUTPATIENT SERVICES, TENET) |
| Authorized Official Contact | 4698932153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Carolina Medical Center, Inc Po Box 741261 Atlanta GA 30374-1261 Ph: (843) 784-3101 | Coastal Carolina Medical Center, Inc 10911 North Jacob Smart Blvd #d Ridgeland SC 29936-2729 Ph: (843) 784-3101 |
| NPI Number | 1518007681 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 06/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518007681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Coastal Carolina Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10911 N Jacob Smart Blvd, D, Ridgeland, SC 29936 Phone: 843-784-3101 Fax: 843-784-5313 | |
Margaret F Curtis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 W Wilson Street, Ridgeland, SC 29936 Phone: 843-717-2600 Fax: 843-717-2356 | |
Beaufort Jasper Hampton Comprehensive Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 Okatie Hwy, Ridgeland, SC 29909 Phone: 843-987-7400 Fax: 843-987-7484 | |
Ochsner 65 Plus Hh Okatie Crossing Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Terrace Dr, Ridgeland, SC 29936 Phone: 843-547-4765 Fax: 843-547-4766 | |
Altea Medical South Carolina Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1516 Grays Hwy, Ridgeland, SC 29936 Phone: 843-726-5581 | |
Tricia Etheridge, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 S Green St, Ridgeland, SC 29936 Phone: 843-726-6773 Fax: 843-726-6778 |