Coastal Wellness Family Medicine LLC
NPI #1235632449 in Saint Marys, Georgia
Provider Information
- NPI Number
- 1235632449
- Entity Type
- Organization
- Organization Name
- Coastal Wellness Family Medicine LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 14, 2018
- Last Updated
- Dec 3, 2024
Practice Location
- Address
- 102 LAKESHORE DR STE B
- City
- Saint Marys
- State
- Georgia
- ZIP Code
- 31558-3875
- Phone
- (912) 576-7546
Authorized Official
- Name
- MS. TAVIA HALL, MS, CPPM
- Title
- CLINICAL DIRECTOR
- Phone
- (912) 576-7546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Clinic/Center - Primary Care — Primary Care |
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