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

Coastal Podiatry LLC

Organization Podiatrist · NPI 1588965586

Coastal Podiatry LLC is a Podiatrist in Mount Pleasant, South Carolina. Licensed in South Carolina. Registered with an NPI since 2010.

Licensed in
SC
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

180 Wingo Way Ste 201
Mount Pleasant, SC 29464-1810
Phone: (843) 856-5337
Fax: (843) 606-2483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence POD 607 (SC)

Record details

NPI number1588965586
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamika Bolden Ravenell — Dpm/ Owner · (916) 215-1234
NPI enumeratedNovember 7, 2010
Last updated in NPPESDecember 13, 2013
Mailing addressPo Box 783, Mount Pleasant, SC 29465-0783

Other providers in Mount Pleasant