Organization Name: | COASTAL GYNECOLOGY AND OBSTETRICS PA |
NPI Number: | 1659458966 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HARRY WADE BOATWRIGHT (PHYSICIAN) |
Mailing Address: | 2093 Henry Tecklenburg Dr Suite 304 East Charleston |
State: | SC US |
Postal Code: | 294145741 |
Phone Number: | 8435710200 |
Fax Number: | 8668488485 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 09/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 12402 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |