Coastal Medical Services LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

630 Issued in SC

Legal business name

COASTAL MEDICAL SERVICES LLC

Practice address

616 Churchill Rd
Walterboro, SC 29488-3622

Phone

(843) 693-6200

Fax

(513) 858-7827

NPI assigned

Aug 13, 2013

Last updated

Mar 22, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rebecca Spitulski

Title

Owner

Phone

(843) 693-6200

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1164855227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 CHURCHILL RD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883622",
            "telephone_number": "843-693-6200",
            "fax_number": "513-858-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 CHURCHILL RD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294883622",
            "telephone_number": "843-693-6200",
            "fax_number": "513-858-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "SPITULSKI",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-693-6200"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.