Organization · Type 2 NPI

Coastal Carolina Multispecialty Associates, LLC

Specialist · Summerville, SC

NPI number 1518079102 Active

Practice location

295A Midland Pkwy Ste 120
Summerville, SC 29485-5901

Call (843) 875-8994 Map

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4525

Other practice locations

9330 Medical Plaza Dr, Charleston, SC 29406-9104 · (843) 847-4946
120 Medical Park Dr, Walterboro, SC 29488-5719 · (843) 549-1421

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed
Cardiovascular Disease Physician	207RC0000X	None listed
Interventional Cardiology Physician	207RI0011X	None listed
Obstetrics & Gynecology Physician	207V00000X	None listed
Orthopaedic Surgery Physician	207X00000X	None listed
Radiation Oncology Physician	2085R0001X	None listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	208G00000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Another provider at this address

Alexander Dix Soutter, MDPediatric Surgery Physician Summerville, SC NPI 1629096763

Other specialist providers in Summerville

See all in Summerville →

NPI record

NPI: 1518079102
Entity type: Organization (Type 2)
Issued: Aug 31, 2006
Last updated: Mar 13, 2026
Status: Active
Subpart: Yes of Coastal Carolina Multispecialty Associates, LLC

Other names

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Coastal Carolina Surgical Specialists · doing business as
Coastal Carolina Surgical Specialists · doing business as

Authorized official

Robert Faile
Vice President
(843) 856-7923

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1518079102

Coastal Carolina Multispecialty Associates, LLC's National Provider Identifier is 1518079102, issued on Aug 31, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Summerville, SC. The record was last updated on Mar 13, 2026.