Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Carolina Surgical Assoc

Organization Surgery Physician · NPI 1831252477

Coastal Carolina Surgical Assoc is a Surgery Physician in Beaufort, South Carolina. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

1055 Ribaut Rd Ste 30
Beaufort, SC 29902-5447
Phone: (843) 524-8171
Fax: (843) 525-6613
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1831252477
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Mock — Practice Administrator · (843) 524-8171
NPI enumeratedDecember 18, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1055 Ribaut Road, Suite 30, Beaufort, SC 29902-5447

Other providers in Beaufort