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Coastal Foot and Ankle Specialist, LLC

NPI #1629447511 in Brunswick, Georgia

Provider Information

NPI Number
1629447511
Entity Type
Organization
Organization Name
Coastal Foot and Ankle Specialist, LLC
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
Sep 21, 2015
Last Updated
Jan 17, 2017

Practice Location

Address
10 PROFESSIONAL DR
City
Brunswick
State
Georgia
ZIP Code
31520-3774
Phone
(912) 265-0709

Authorized Official

Name
MRS. NICHOLE DANIELLE MANNING
Title
OFFICE MANAGER
Phone
(912) 265-0709

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery

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