Southern Coastal Ent Pc in Brunswick - Otolaryngology
Southern Coastal Ent Pc - NPI 1104905405
Southern Coastal Ent Pc is a Otolaryngology in Brunswick, Georgia. Southern Coastal Ent Pc practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Southern Coastal Ent Pc is 1104905405. The last update date is 2008-07-15.
Southern Coastal Ent Pc's current location address is 2500 Starling St, Brunswick, Georgia. You can contact this provider via phone number 9122653210 and fax number 9122651481. The mailing address for Southern Coastal Ent Pc is 2500 Starling St, Brunswick, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Coastal Ent Pc |
|---|---|
| Address | 2500 Starling St, Brunswick, Georgia |
| Phone Number | 9122653210 |
| Fax Number | 9122651481 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Stevenson A Sherman |
| Credentials | MD |
| Telephone Number | 9122653210 |
NPI Number Detail
| NPI Number | 1104905405 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2008-07-15 |
Provider Mailing Address Detail
| Address | 2500 Starling St |
|---|---|
| City | Brunswick |
| State | Georgia (GA) |
| Post Code | 315204265 |
| Phone Number | 9122653210 |
| Fax Number | 9122651481 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 57327 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 078903405A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Southern Coastal Ent Pc by the Centers for Medicare & Medicaid Services?
The Southern Coastal Ent Pc has been issued the NPI (National Provider Identifier) 1104905405, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Southern Coastal Ent Pc is geographically located?
The Southern Coastal Ent Pc is physically situated at the following location: 2500 Starling St, Brunswick, GA, 315204265.
What is Southern Coastal Ent Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southern Coastal Ent Pc is Otolaryngology, and the taxonomy code that categorizes this field of expertise is 207Y00000X.
When was the Southern Coastal Ent Pc's 1104905405 issued?
The Southern Coastal Ent Pc's 1104905405 was issued on 2006-11-06.
As of what date were the details related to Southern Coastal Ent Pc most recently updated or revised?
The information pertaining to Southern Coastal Ent Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-15.