# COASTAL ANESTHESIA SERVICES LLC

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

## Provider details

- **NPI number:** 1669654299
- **Authorized official:** SHERMAN PHILLIPS CCP, CRT,MMSC, PA (ANESTHESIOLOGIST ASSISTANT)
- **Authorized official phone:** (770) 617-7224

## Contact information

- **Practice address:** 501 SWEETFERN LN, SUITE B, SUGAR HILL, GA 30518-7612
- **Practice address phone:** (770) 617-7224
- **Mailing address:** 501 SWEETFERN LN, SUITE B, SUGAR HILL, GA 30518-7612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | 005161 | GA | Yes |

## Other

- **Enumeration date:** 12/05/2007
- **Last updated:** 12/07/2007