Coastal Georgia Wellness Center & Family Medicine
LBN: Coastal Wellness Family Medicine
Coastal Georgia Wellness Center & Family Medicine is an health care organization with primary practice located at 102 Lakeshore Dr Ste B , Saint Marys GA 31558-3875. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Coastal Wellness Family Medicine can be contacted via phone (912) 576-7546, or through Hall, Tavia via phone (912) 576-7546.
Contact Information
Primary practice address
102 Lakeshore Dr Ste B
Saint Marys GA 31558-3875
Phone: (912) 576-7546
Fax: (912) 576-2348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1235632449 |
|---|---|
| LBN Legal business name | Coastal Wellness Family Medicine |
| DBA Doing business as | Coastal Georgia Wellness Center & Family Medicine |
| Authorized official | Hall, Tavia MS, CPPM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 14th, 2018 |
| Last updated | Jun 14th, 2024 - about 5 months 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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