Coastal Carolina Physician Practices LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

COASTAL CAROLINA PHYSICIAN PRACTICES LLC

Doing business as

Coastal Carolina Neurological Associates

Practice address

8 Hospital Center Blvd
Suite 110
Hilton Head, SC 29926-8700

Phone

(843) 681-4433

Fax

(843) 836-3677

NPI assigned

Jun 1, 2007

Last updated

Aug 22, 2020By 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

Mr. Robert Klein

Title

Division President

Phone

(615) 372-8500

Specialties & licenses 1

Addresses

Other names 1

• Coastal Carolina Neurological Associates Doing business as

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275735441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER DR",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299273446",
            "telephone_number": "843-681-4433",
            "fax_number": "843-836-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HOSPITAL CENTER BLVD",
            "address_2": "SUITE 110",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299268700",
            "telephone_number": "843-681-4433",
            "fax_number": "843-836-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIVISION PRESIDENT",
        "authorized_official_telephone_number": "615-372-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Carolina Neurological Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Neurology Physician in Hilton Head, SC
• Providers in Hilton Head, SC by specialty
• Neurology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.