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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EXECUTIVE COURT MEDICAL SPECIALIST P.C.

Active Organization

EXECUTIVE COURT MEDICAL SPECIALIST P.C. is a Gastroenterology organization located in SURFSIDE BEACH, South Carolina. NPI 1558575217 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · SURFSIDE BEACH, SC

Registration Details

NPI Number
1558575217
Provider Type
Organization
NPI Issued
May 10, 2007 (19.28399285126 yrs)
Last Updated
Nov 26, 2008
Licenses
15450 (SC)
15451 (SC)

Practice Information

Address
997 HWY 17 BUSINESS SOUTH
SUITE C
SURFSIDE BEACH, SC, 295756084
Browse SC providers · Browse ZIP 29575
Phone
8438394505
Fax
8438392851
Primary Specialty
Gastroenterology
207RG0300X
Additional Specialty
Gastroenterology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.