OrganizationActive
Coastal Podiatry Associates PA
NPI 1932584885 · Podiatrist · Loris, SC
Provider details
- NPI number
- 1932584885
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Susan Fisher, Practice Administrator(843) 449-8079
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Foot & Ankle Surgery Podiatrist213ES0103X
Podiatric Medicine & Surgery Service Providers
- Foot Surgery Podiatrist213ES0131X
Podiatric Medicine & Surgery Service Providers
Practice location
3997 Meeting St
Loris, SC 29569-3053
Phone: (843) 449-8079
Fax: (843) 497-6147
Approximate (ZIP-level) locationGet directions
Mailing address
8141 Rourk St
Myrtle Beach, SC 29572-4128
Registry dates
- Enumerated
- 2015-07-21
- Last updated
- 2019-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.