Coastal Pediatrics, Llc in Pooler - Pediatrics

Coastal Pediatrics, Llc - NPI 1659418077

Coastal Pediatrics, Llc is a Pediatrics in Pooler, Georgia. Coastal Pediatrics, Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Coastal Pediatrics, Llc is 1659418077. The last update date is 2018-08-17.

Coastal Pediatrics, Llc's current location address is 1000 Towne Center Blvd Ste 1000b, Pooler, Georgia. You can contact this provider via phone number 9123537744 and fax number 9123483589. The mailing address for Coastal Pediatrics, Llc is 1000 Towne Center Blvd Ste 1000b, Pooler, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Coastal Pediatrics, Llc
Address 1000 Towne Center Blvd Ste 1000b, Pooler, Georgia
Phone Number 9123537744
Fax Number 9123483589
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Stone W. Dudley
Credentials M.D.
Telephone Number 9123537744

NPI Number Detail

NPI Number 1659418077
Provider Enumeration Date 2007-02-01
Last Updated Date 2018-08-17

Provider Mailing Address Detail

Address 1000 Towne Center Blvd Ste 1000b
City Pooler
State Georgia (GA)
Post Code 313224129
Phone Number 9123537744
Fax Number 9123483589

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 51088
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Coastal Pediatrics, Llc

What is the unique provider identifier assigned to Coastal Pediatrics, Llc?

The Coastal Pediatrics, Llc has been issued the NPI (National Provider Identifier) 1659418077 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Coastal Pediatrics, Llc's physical address?

The Coastal Pediatrics, Llc is physically located at 1000 Towne Center Blvd Ste 1000B, in the city of Pooler, GA, with the postal code 313224129.

What is Coastal Pediatrics, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Coastal Pediatrics, Llc's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.

On what date did the Coastal Pediatrics, Llc receive its 1659418077 assignment from the Centers for Medicare & Medicaid Services?

The Coastal Pediatrics, Llc was assigned its 1659418077 by the Centers for Medicare & Medicaid Services on 2007-02-01.

As of what date were the details pertaining to Coastal Pediatrics, Llc last refreshed?

The information related to the Coastal Pediatrics, Llc, including its address, specialty, and other relevant details, was last updated on 2018-08-17.

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