OrganizationActive
Coastal Carolina Surgical Assoc
NPI 1831252477 · Vascular Surgery Physician · Beaufort, SC
Provider details
- NPI number
- 1831252477
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lori Mock, Practice Administrator(843) 524-8171
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Practice location
1055 Ribaut Road
Suite 30
Beaufort, SC 29902-5447
Phone: (843) 524-8171
Fax: (843) 525-6613
Approximate (ZIP-level) locationGet directions
Mailing address
1055 Ribaut Road
Beaufort, SC 29902-5447
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.