# COASTAL NEUROLOGICAL INSTITUTE P.C.

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

## Provider details

- **NPI number:** 1740212174
- **Authorized official:** DR. WILLIAM B FAIRCLOTH M.D. (PRESIDENT)
- **Authorized official phone:** (251) 450-3700

## Contact information

- **Practice address:** 3280 DAUPHIN ST, SUITE A, MOBILE, AL 36606-4060
- **Practice address phone:** (251) 450-3700
- **Practice address fax:** (251) 662-3819
- **Mailing address:** 3280 DAUPHIN ST, SUITE A, MOBILE, AL 36606-4060
- **Mailing address phone:** (251) 450-3700
- **Mailing address fax:** (251) 662-3819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207T00000X | Neurological Surgery Physician | 16395 | AL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 20439 | AL | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 09/11/2025