Southcoast Medical Group, Llc

LBN: Southcoast Medical Group, Llc
Southcoast Medical Group, Llc is an health care organization with primary practice located at 330 Benefield Dr , Savannah GA 31406-2604. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Southcoast Medical Group, Llc can be contacted via phone (912) 303-3552, or through Marrero, John via phone (912) 303-3552.

Contact Information

Primary practice address
330 Benefield Dr Savannah GA 31406-2604
Phone: (912) 303-3552
Fax: (912) 303-3506
Website:
Map and Directions
Authorized official contact:
Name: Marrero, John
Phone: (912) 303-3552

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Georgia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X Georgia
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X Georgia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 047425 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X Georgia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 022482 Georgia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Georgia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 064752 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 021614 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Georgia

Profile Details

NPI number 1467451922
LBN Legal business name Southcoast Medical Group, Llc
DBA Doing business as
Authorized official Marrero, John
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 21st, 2022 - about 2 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 1467451922 NPPES
Florida MEDICAID 909802000
Florida MEDICAID GPA3131
Florida MEDICAID GPA643

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