# COASTAL VEIN SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396076162
- **Authorized official:** DR. DAVID V. CAPALLO M.D. (OWNER)
- **Authorized official phone:** (912) 920-8346

## Contact information

- **Practice address:** 11550 ABERCORN ST, SAVANNAH, GA 31419-1902
- **Practice address phone:** (912) 920-8346
- **Mailing address:** 11550 ABERCORN ST, SAVANNAH, GA 31419-1902
- **Mailing address phone:** (912) 920-8346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2010
- **Last updated:** 01/19/2010