Organization · Type 2 NPI

Southern Coastal Ent PC

Otolaryngology Physician · Brunswick, GA

NPI number 1104905405 Active

Practice location

2500 Starling St, Suite 403
Brunswick, GA 31520-4265

Fax (912) 265-1481

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X057327 (GA)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1104905405

Southern Coastal Ent PC's National Provider Identifier is 1104905405, issued on Nov 6, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Brunswick, GA. The record was last updated on Jul 15, 2008.