Coastal Healthcare LLC

NPI #1700543071 in Midway, Georgia

Provider Information

NPI Number: 1700543071
Entity Type: Organization
Organization Name: Coastal Healthcare LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 22, 2021
Last Updated: Nov 22, 2021

Practice Location

Address: 204 BUTLER ST
City: Midway
State: Georgia
ZIP Code: 31320-4596
Phone: (912) 884-9255

Authorized Official

Name: ASHLEY PETER NAGEL, PHARMD
Title: OWNER/AUTHORIZED OFFICIAL
Phone: (912) 441-5240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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