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 |
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Address | 1000 Towne Center Blvd Ste 1000b, Pooler, Georgia |
Phone Number | 9123537744 |
Fax Number | 9123483589 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Stone W. Dudley |
Credentials | M.D. |
Telephone Number | 9123537744 |
NPI Number Detail
NPI Number | 1659418077 |
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Provider Enumeration Date | 2007-02-01 |
Last Updated Date | 2018-08-17 |
Provider Mailing Address Detail
Address | 1000 Towne Center Blvd Ste 1000b |
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City | Pooler |
State | Georgia (GA) |
Post Code | 313224129 |
Phone Number | 9123537744 |
Fax Number | 9123483589 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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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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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.