NPI 1750346789 · live from the CMS NPI Registry
Coastal Neurology, P.A.
Psychiatry & Neurology, Neurology in Port Royal, SC. National Provider Identifier 1750346789, active.
NPI record
| NPI | 1750346789 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 1833 N. Paris Avenue, Port Royal, SC 29935 |
| Practice phone | 843-522-1420 |
| Mailing address | 1833 N Paris Ave, Port Royal, SC 29935 |
| Enumerated | April 20, 2006 |
| Last updated | June 10, 2026 |
| Authorized official | Paul Mazzeo, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Medical Specialty | 261QM2500X | — |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.