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institution
Coastal Care Inc
Primary Care Clinic/Center in Waycross, Georgia
NPI 1538367149

Coastal Care Inc is a Primary Care Clinic/Center based in Waycross, GA and is specialized in Primary Care. Coastal Care Inc practices in Waycross, GA. The NPI Number for Coastal Care Inc is 1538367149 and holds a License No. 055345 (Georgia).

The current practice location address for Coastal Care Inc is 1405 Alice St, Waycross, GA and can be reached out via phone at 912-285-8822 and via fax at 912-490-4870.

Location: 1405 Alice St, Waycross, GA, 31501-4528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538367149
Provider Name
Coastal Care Inc
Credential
Provider Entity Type
Organization
Address
1405 Alice St, Waycross, GA, 31501-4528
Phone Number
912-285-8822
Fax Number
912-490-4870
Provider Enumeration Date
07/05/2007
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
672694005A 05 GA
institution
Provider Business Practice Location Address Details
Address
1405 Alice St
City
Waycross
State
Georgia
Zip
31501-4528
Phone Number
912-285-8822
Fax Number
912-490-4870
person
Provider Business Mailing Address Details
Address
1405 Alice St
City
Waycross
State
Georgia
Zip
31501-4528
Phone Number
912-285-8822
Fax Number
912-490-4870
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
055345 (Georgia)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
055345 (Georgia)
Definition
Definition to come...
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