Organization Active NPI

Coastal Carolina Breast Center LLC

  • Surgery Physician
  • Murrells Inlet, SC
National Provider Identifier
1295983096
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
COASTAL CAROLINA BREAST CENTER LLC
Practice address
4181 Highway 17
Murrells Inlet, SC 29576-5019
Phone
(843) 651-3308
Fax
(843) 651-4629
NPI assigned
Sep 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Mrs. Joy L Ciappetta
Title
Administrator
Phone
(843) 651-3308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

4181 Highway 17
Murrells Inlet, SC 29576-5019

Mailing address

4181 Highway 17
P O Box 3217
Murrells Inlet, SC 29576-5019
Phone (843) 651-3308

National Provider Directory

National Provider Directory

Locations

4367 Riverwood Dr
Unit 130
Murrells Inlt, SC 29576
Phone (843) 357-4500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1295983096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 HIGHWAY 17",
            "address_2": "P O BOX 3217",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765019",
            "telephone_number": "843-651-3308",
            "fax_number": "843-651-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 HIGHWAY 17",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765019",
            "telephone_number": "843-651-3308",
            "fax_number": "843-651-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA BREAST CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "CIAPPETTA",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-651-3308",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.