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COASTAL STATES MANAGEMENT NPI 1295743078


NPI Information

NPI: 1295743078
Provider Name: COASTAL STATES MANAGEMENT

Doing Business As: SOUTHEASTERN PAIN MANAGEMENT

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1026 GOODYEAR AVE
BLDG 400, STE 302
GADSDEN, AL
ZIP 35903
Phone: (256) 492-7246
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COASTAL STATES MANAGEMENT is a specialist in Gadsden, AL. 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 STATES MANAGEMENT NPI is 1295743078. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southeastern Pain Management.

The provider's business location address is:

1026 GOODYEAR AVE
BLDG 400, STE 302
GADSDEN, AL
ZIP 35903-102
Phone: (256) 492-7246
Fax: (256) 492-1186

The provider's authorized official is Mary Katherine Jacobs .
The authorized official title is Chief Operating Officer and has the following contact phone number (256) 492-7246.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistD0459ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00145166OTHERALABAMARAILROAD MEDICARE

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: 4/28/2024

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