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COASTAL MEDICAL SPECIALISTS NPI 1952579666


NPI Information

NPI: 1952579666
Provider Name: COASTAL MEDICAL SPECIALISTS

Other Name: COASTAL MEDICAL SPECIALISTS IN LUNG & CRITICAL CARE, PC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
455 S MAIN ST
SUITE 105
HINESVILLE, GA
ZIP 31313
Phone: (912) 369-5864
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COASTAL MEDICAL SPECIALISTS is a specialist in Hinesville, 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 MEDICAL SPECIALISTS NPI is 1952579666. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Coastal Medical Specialists In Lung & Critical Care, Pc.

The provider's business location address is:

455 S MAIN ST
SUITE 105
HINESVILLE, GA
ZIP 31313-353
Phone: (912) 369-5864

The provider's authorized official is Kimberly Lashawn Davis .
The authorized official title is Office Manager and has the following contact phone number (912) 354-7679.

The enumeration date for this NPI number is 2/15/2008 and was last updated on 2/15/2008.


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
1174400000XSpecialist049393GEORGIAYes

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
1G42858MEDICARE UPINGEORGIA
200900798DMEDICAIDGEORGIA
300900798EMEDICAIDGEORGIA
429BDCLFMEDICARE PINGEORGIA
5049393MEDICAIDSOUTH CAROLINA
600900798CMEDICAIDGEORGIA
700900798FMEDICAIDGEORGIA
800900798GMEDICAIDGEORGIA

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: 11/14/2023

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