Coastal Kidney Center Pa in Conway - Nephrology
Coastal Kidney Center Pa - NPI 1801961537
Coastal Kidney Center Pa is a Nephrology in Conway, South Carolina. Coastal Kidney Center Pa practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Coastal Kidney Center Pa is 1801961537. The last update date is 2008-04-20.
Coastal Kidney Center Pa's current location address is 834 Farrar Drive, Conway, South Carolina. You can contact this provider via phone number 8433479487 and fax number 8433479574. The mailing address for Coastal Kidney Center Pa is 834 Farrar Drive, Conway, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Kidney Center Pa |
|---|---|
| Address | 834 Farrar Drive, Conway, South Carolina |
| Phone Number | 8433479487 |
| Fax Number | 8433479574 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Elms Jay John |
| Credentials | MD |
| Telephone Number | 8433479487 |
NPI Number Detail
| NPI Number | 1801961537 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 834 Farrar Drive |
|---|---|
| City | Conway |
| State | South Carolina (SC) |
| Post Code | 29526 |
| Phone Number | 8433479487 |
| Fax Number | 8433479574 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 22373 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP1049 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Coastal Kidney Center Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Coastal Kidney Center Pa has been assigned the NPI (National Provider Identifier) 1801961537. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Coastal Kidney Center Pa is physically located?
The Coastal Kidney Center Pa is situated at the following address: 834 Farrar Drive, Conway, SC 29526.
What is the area of specialization for Coastal Kidney Center Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Coastal Kidney Center Pa is Nephrology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rn0300X.
On what date did Coastal Kidney Center Pa receive its 1801961537 assignment from the Centers for Medicare & Medicaid Services?
The Coastal Kidney Center Pa was assigned its 1801961537 on 2006-11-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Coastal Kidney Center Pa most recently updated or revised?
The information pertaining to Coastal Kidney Center Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-20.