| Coastal Carolina Primary Care, Llc | |
|
3601 Ladson Rd Suite 101 Ladson SC 29456-4304 | |
| (843) 821-0733 | |
| (843) 821-0925 |
| Full Name | Coastal Carolina Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3601 Ladson Rd, Ladson, South Carolina |
| Authorized Official Name and Position | Wayne O. Winney (VICE PRESIDENT) |
| Authorized Official Contact | 8438474054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Carolina Primary Care, Llc 3601 Ladson Rd Suite 101 Ladson SC 29456-4304 Ph: (843) 821-0733 | Coastal Carolina Primary Care, Llc 3601 Ladson Rd Suite 101 Ladson SC 29456-4304 Ph: (843) 821-0733 |
| NPI Number | 1942522719 |
|---|---|
| Provider Enumeration Date | 02/22/2010 |
| Last Update Date | 05/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942522719 | NPI | - | NPPES |
| 1942522719 | Medicaid | SC | |
| GP5390 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ppcp Specialty Physicians , Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3495 Iron Horse Rd, Ladson, SC 29456 Phone: 843-820-3453 Fax: 843-594-5405 | |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3495 Iron Horse Rd, Ladson, SC 29456 Phone: 843-302-8845 Fax: 843-569-5872 | |
Roper Saint Francis Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4278 Ladson Rd, Ladson, SC 29456 Phone: 843-203-2240 Fax: 843-203-2241 | |
Premise Health Of South Carolina Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9051 Palmetto Commerce Pkwy, Ladson, SC 29456 Phone: 843-695-2233 Fax: 843-695-2640 |