# COAST PEDIATRICS

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

## Provider details

- **NPI number:** 1508547472
- **Authorized official:** MRS. MARGARET FAYE PAETZ CPNP-PC (NURSE PRACTITIONER)
- **Authorized official phone:** (228) 273-0400

## Contact information

- **Practice address:** 5605 HIGHWAY 614 \# B, MOSS POINT, MS 39562-7569
- **Practice address phone:** (228) 273-0400
- **Practice address fax:** (228) 333-0759
- **Mailing address:** 7312 PARK RIDGE DR S, MOSS POINT, MS 39562-6164
- **Mailing address phone:** (228) 273-0400
- **Mailing address fax:** (228) 333-0759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2023
- **Last updated:** 08/25/2023