# COASTLINE PHYSICAL MEDICINE AND REHABILITATION INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1518356658
- **Authorized official:** DR. VINCENT MESSBARGER M.D. (OWNER)
- **Authorized official phone:** (912) 576-9507

## Contact information

- **Practice address:** 4011 HWY 40, SAINT MARYS, GA 31558-4067
- **Practice address phone:** (912) 576-9507
- **Practice address fax:** (912) 576-9515
- **Mailing address:** 4011 HWY 40, SAINT MARYS, GA 31558-4067
- **Mailing address phone:** (912) 576-9507
- **Mailing address fax:** (912) 576-9515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | GA68069 | GA | Yes |

## Other

- **Enumeration date:** 01/13/2015
- **Last updated:** 01/24/2015