Organization
COASTAL ANESTHESIA & PAIN RELIEF SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY PEARSON M.D. (PRESIDENT)
(912) 756-3004
Entity
Organization
Contact information
Practice address
2701HIGHWAY 17, STE B, RICHMOND, GA 31324-3799
(912) 756-3004
(912) 756-5921
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(334) 386-2053
(334) 244-1830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH6623
RAILROAD MEDICARE
GA
Enumeration date
05/04/2006
Last updated
11/30/2009
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