Coastal Retina Institute, LLC

NPI #1134719024 in Savannah, Georgia

Provider Information

NPI Number: 1134719024
Entity Type: Organization
Organization Name: Coastal Retina Institute, LLC
Primary Specialty: Ophthalmology
Enumeration Date: Jan 25, 2021
Last Updated: Jan 25, 2021

Practice Location

Address: 836 E 65TH ST STE 38
City: Savannah
State: Georgia
ZIP Code: 31405-4495
Phone: (912) 376-2030

Authorized Official

Name: LAXMI DEVISETTY, MD
Title: PHYSICIAN OWNER
Phone: (312) 451-6220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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