OrganizationActive
Coastal Physical Medicine, PA
NPI 1053580662 · Medical Specialty Clinic/Center · North Charleston, SC
Provider details
- NPI number
- 1053580662
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rebecca Mcswain, Practice Manager(843) 762-2274
- License
- 19612 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3185 Azalea Dr
North Charleston, SC 29405-8211
Phone: (843) 762-2274
Fax: (843) 762-2278
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 12819
Charleston, SC 29422-2819
Registry dates
- Enumerated
- 2008-02-27
- Last updated
- 2008-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.