Organization
COASTAL PAIN CENTER, LLC
Active
Parent organization
COASTAL PAIN CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL PAIN CENTER, LLC
Authorized official
KEVIN COYLE MD (OWNER/PHYSICIAN)
(912) 466-9111
Entity
Organization
Contact information
Practice address
306 ISABELLA ST, WAYCROSS, GA 31501-3636
(912) 466-9111
Mailing address
3221 GLYNN AVE, BRUNSWICK, GA 31520-4851
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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