Coastal Pediatrics, Llc
Pediatrics
Coastal Pediatrics, Llc is a Pooler, Georgia based Pediatric center with medical specialization in
General Pediatrics. Coastal Pediatrics, Llc is doing business as
Coastal Pediatrics.
It is located at
1000 Towne Center Blvd Ste 1000b, Pooler, Georgia - 31322. They can be contacted on phone at
912-353-7744 and fax number 912-348-3589.
NPI number (Unique professional ID) for Coastal Pediatrics, Llc is
1659418077 which was assigned by NPPES on 01 Feb, 2007 and it was last updated on 17 Aug, 2018.
Coastal Pediatrics, Llc license number is
051088 for Pediatrics (208000000X) in Georgia.
Coastal Pediatrics, Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Coastal Pediatrics, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Coastal Pediatrics, Llc |
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| Other Name : | Coastal Pediatrics |
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Business Address:
Coastal Pediatrics, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1000 Towne Center Blvd Ste 1000b
Pooler, GA, 31322
United States |
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| Phone Number : | 912-353-7744 |
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| Fax Number : | 912-348-3589 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1659418077 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 01 Feb, 2007 |
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| Last Updated On : | 17 Aug, 2018 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Dudleyw. Stone |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER |
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| Phone Number : | 912-353-7744 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Coastal Pediatrics, Llc are as mentioned. Primary taxonomy code for Coastal Pediatrics, Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 051088 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Coastal Pediatrics, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| ========= | Other | | TAX ID NUMBER |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1000 Towne Center Blvd Ste 1000b
Pooler, GA, 31322-4129
United States |
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| Phone Number : | 912-353-7744 |
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| Fax Number : | 912-348-3589 |
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Business Location:
Patients can refer following map for directions to
Coastal Pediatrics, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.