Organization
COASTAL NEUROLOGY AND NEUROSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOT HINES MD (PRESIDENT)
(912) 264-9670
Entity
Organization
Contact information
Practice address
2500 STARLING ST, SUITE 506, BRUNSWICK, GA 31520-4219
(912) 264-9670
(912) 264-9671
Mailing address
2500 STARLING ST, SUITE 506, BRUNSWICK, GA 31520-4219
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
049031
GA
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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