# SOUTHCOAST PHYSICIANS GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family MediCenter
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215359443
- **Authorized official:** TAMMY ZIZZO (DIRECTOR, CBO)
- **Authorized official phone:** (508) 973-2044

## Contact information

- **Practice address:** 672 AQUIDNECK AVE, MIDDLETOWN, RI 02842-5795
- **Practice address phone:** (401) 847-0519
- **Practice address fax:** (401) 846-0283
- **Mailing address:** 200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
- **Mailing address phone:** (508) 973-2000
- **Mailing address fax:** (508) 973-2001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 01/07/2014
- **Last updated:** 01/07/2014