Organization · Type 2 NPI

Coastal Pain Center, LLC

Ambulatory Surgical Clinic/Center · Waycross, GA

NPI number 1114454634 Active

Practice location

306 Isabella St
Waycross, GA 31501-3636

Mailing address

3221 Glynn Ave
Brunswick, GA 31520-4851

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

6 other providers at this address

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About NPI 1114454634

Coastal Pain Center, LLC's National Provider Identifier is 1114454634, issued on May 15, 2017. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Waycross, GA. The record was last updated on May 15, 2017.