COASTAL KIDNEY CENTER PA
Osteopathic Medicine at Farrar Dr, Conway, SC

License number
South Carolina 17448
Category
Osteopathic Medicine
Type
Nephrology
License number
South Carolina 985
Category
Osteopathic Medicine
Type
Nephrology
License number
South Carolina 22373
Category
Osteopathic Medicine
Type
Nephrology
Owner
Name: MR. JOHN JAY ELMS MD
Title: PRESIDENT
Phone: (843) 347-9487
Address
Address
834 Farrar Dr, Conway, SC 29526
National Provider ID: 1801961537
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Coastal Kidney Center, PA

834 Farrar Dr, Conway, SC 29526

Industry:
Medical Doctor's Office
Phone:
(843) 347-9487 (Phone), (843) 347-9550 (Phone)
Secretarys:
Srvanthin Balachandrin (President, Nephrology, Medical Doctor),Adam W. Gedney (Physician Assistant),Jay Elms (Nephrology, Medical Doctor),...
Categories:
Physicians & Surgeons-Internal Medicine, Nephrology Physicians & Surgeons

COASTAL KIDNEY CENTER, PA

1503 Elm St, Conway, SC 29526

Registration:
Sep 27, 1994
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Agent:
J Jay Elms

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