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COASTAL CARDIOLOGY PC NPI 1528262540


NPI Information

NPI: 1528262540
Provider Name: COASTAL CARDIOLOGY PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 11D0265194

Address:
3226 HAMPTON AVE STE A
BRUNSWICK, GA
ZIP 31520
Phone: (912) 264-0760
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COASTAL CARDIOLOGY PC is a specialist in Brunswick, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COASTAL CARDIOLOGY PC NPI is 1528262540. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3226 HAMPTON AVE STE A
BRUNSWICK, GA
ZIP 31520-226
Phone: (912) 264-0760
Fax: (912) 264-5798

The provider's authorized official is George E Powell .
The authorized official title is Physician/cardiovascular Disease and has the following contact phone number (912) 264-0760.

The CLIA number assigned to this NPI record is 11D0265194 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 1/31/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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