institution
Coastal Foot And Ankle Specialist, Llc
Foot & Ankle Surgery Podiatrist in Brunswick, Georgia
NPI 1629447511

Coastal Foot And Ankle Specialist, Llc is a Foot & Ankle Surgery Podiatrist based in Brunswick, GA and is specialized in Foot & Ankle Surgery. Coastal Foot And Ankle Specialist, Llc practices in Brunswick, GA. The NPI Number for Coastal Foot And Ankle Specialist, Llc is 1629447511 and holds a License No. POD000997 (Georgia).

The current practice location address for Coastal Foot And Ankle Specialist, Llc is 10 Professional Dr, Brunswick, GA and can be reached out via phone at 912-265-0709 and via fax at 912-264-5712.

Location: 10 Professional Dr, Brunswick, GA, 31520-3774
institution
Provider Profile Details
NPI Number
1629447511
Provider Name
Coastal Foot And Ankle Specialist, Llc
Credential
Provider Entity Type
Organization
Address
10 Professional Dr, Brunswick, GA, 31520-3774
Phone Number
912-265-0709
Fax Number
912-264-5712
Provider Enumeration Date
09/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
400885615D 05 GA
institution
Provider Business Practice Location Address Details
Address
10 Professional Dr
City
State
Zip
31520-3774
Phone Number
912-265-0709
Fax Number
912-264-5712
person
Provider Business Mailing Address Details
Address
10 Professional Dr
City
State
Zip
31520-3774
Phone Number
912-265-0709
Fax Number
912-264-5712
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD000997 (Georgia)
Definition
Definition to come...
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