Organization · Type 2 NPI

Coastal Podiatry, LLC

Foot & Ankle Surgery Podiatrist · Mount Pleasant, SC

NPI number 1720356231 Active

Practice location

180 Wingo Way, Suite 101
Mount Pleasant, SC 29464-1810

Fax (843) 856-5339

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X603 (SC)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1720356231

Coastal Podiatry, LLC's National Provider Identifier is 1720356231, issued on Dec 12, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Mount Pleasant, SC. The record was last updated on Dec 12, 2011.