Coastal Pain Center, Llc in Brunswick - Ambulatory Surgical

Coastal Pain Center, Llc - NPI 1740336577

Coastal Pain Center, Llc is a Ambulatory Surgical in Brunswick, Georgia. Coastal Pain Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Coastal Pain Center, Llc is 1740336577. The last update date is 2011-02-14.

Coastal Pain Center, Llc's current location address is 3221 Glynn Ave, Brunswick, Georgia. You can contact this provider via phone number 9124669111 and fax number 9124660366. The mailing address for Coastal Pain Center, Llc is 3221 Glynn Ave, Brunswick, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Coastal Pain Center, Llc
Address 3221 Glynn Ave, Brunswick, Georgia
Phone Number 9124669111
Fax Number 9124660366
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Runyan E Thomas
Credentials M.D.
Telephone Number 9124669111

NPI Number Detail

NPI Number 1740336577
Provider Enumeration Date 2007-01-26
Last Updated Date 2011-02-14

Provider Mailing Address Detail

Address 3221 Glynn Ave
City Brunswick
State Georgia (GA)
Post Code 315204851
Phone Number 9124669111
Fax Number 9124660366

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 063-355
Definition:
Provides outpatient surgical services not requiring hospitalization.

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FAQs about Coastal Pain Center, Llc

What is the unique identifier code issued to Coastal Pain Center, Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Coastal Pain Center, Llc has been assigned the NPI (National Provider Identifier) 1740336577. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Coastal Pain Center, Llc's facilities are situated?

The facilities of Coastal Pain Center, Llc are physically located at the following address: 3221 Glynn Ave, Brunswick, GA, 315204851.

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

The Coastal Pain Center, Llc's specialized field of practice is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 261Qa1903X.

When was the Coastal Pain Center, Llc's 1740336577 issued?

The Coastal Pain Center, Llc's 1740336577 was issued on 2007-01-26.

As of what date were the details related to Coastal Pain Center, Llc most recently updated or revised?

The information pertaining to Coastal Pain Center, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2011-02-14.

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