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Organization

COASTAL EAR NOSE & THROAT, LLC

Active
Other names
Coastal Ear Nose & Throat
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RHONDA OLIVER (PRACTICE ADMINISTRATOR)
(912) 355-2335
Entity
Organization

Contact information

Practice address
322 COMMERCIAL DR, SUITE 2, SAVANNAH, GA 31406
(912) 355-2335
(912) 355-2301
Mailing address
322 COMMERCIAL DR, SUITE 2, SAVANNAH, GA 31406-3625
(912) 355-2335
(912) 355-2301

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
225100000X
Physical Therapist
231H00000X
Audiologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000602588N
GA
Enumeration date
03/13/2009
Last updated
07/13/2018
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