COASTAL UROLOGICAL PARTNERS LLC NPI 1659451029

NPI Information

  • NPI: 1659451029
  • Provider Name: COASTAL UROLOGICAL PARTNERS, LLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 11706 MERCY BLVD
    PLAZA A, SUITE 10
    SAVANNAH, GA
    ZIP 31419
  • Phone: (912) 920-0055

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NPI Details

COASTAL UROLOGICAL PARTNERS, LLC is an urology in Savannah, GA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. COASTAL UROLOGICAL PARTNERS, LLC NPI is 1659451029. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11706 MERCY BLVD
PLAZA A, SUITE 10
SAVANNAH, GA
ZIP 31419-751
Phone: (912) 920-0055
Fax: (912) 920-3367

The provider's authorized official is Carol Evans .
The authorized official title is Billing/insurance Supervisor and has the following contact phone number (912) 920-0055.

The enumeration date for this NPI number is 10/17/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

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This page was last updated on: 11/21/2025

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