Coastal Pediatrics, LLC

NPI #1659418077 in Pooler, Georgia

Provider Information

NPI Number: 1659418077
Entity Type: Organization
Organization Name: Coastal Pediatrics, LLC
Primary Specialty: Pediatrics
Enumeration Date: Feb 1, 2007
Last Updated: Aug 17, 2018

Practice Location

Address: 1000 TOWNE CENTER BLVD STE 1000B
City: Pooler
State: Georgia
ZIP Code: 31322
Phone: (912) 353-7744

Authorized Official

Name: MR. DUDLEY W. STONE, M.D.
Title: OWNER
Phone: (912) 353-7744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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