Coastal Foot And Ankle Specialist, Llc

LBN: Coastal Foot And Ankle Specialist, Llc
Coastal Foot And Ankle Specialist, Llc is an health care organization with primary practice located at 10 Professional Dr , Brunswick GA 31520-3774. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Coastal Foot And Ankle Specialist, Llc can be contacted via phone (912) 265-0709, or through Manning, Nichole Danielle via phone (912) 265-0709.

Contact Information

Primary practice address
10 Professional Dr Brunswick GA 31520-3774
Phone: (912) 265-0709
Fax: (912) 264-5712
Website:
Map and Directions
Authorized official contact:
Name: Manning, Nichole Danielle
Phone: (912) 265-0709

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD000997 Georgia

Profile Details

NPI number 1629447511
LBN Legal business name Coastal Foot And Ankle Specialist, Llc
DBA Doing business as
Authorized official Manning, Nichole Danielle
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2015
Last updated Jan 17th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629447511 NPPES
Georgia MEDICAID 400885615D

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