Organization
COASTAL EAR, NOSE & THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S OLIVER MD (CEO)
(912) 355-2335
Entity
Organization
Contact information
Practice address
200 BLUE MOON XING STE 103, POOLER, GA 31322-9698
(912) 450-2336
Mailing address
322 COMMERCIAL DR, SAVANNAH, GA 31406-3625
(912) 355-2335
(770) 217-3339
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
38323
GA
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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