Organization
COASTAL MEDICAL SPECIALISTS IN LUNG & CRITICAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEWUMI O OGUNTUMIBI M.D. (CEO/MD)
(912) 354-7679
Entity
Organization
Contact information
Practice address
411 STEPHENSON AVE, SAVANNAH, GA 31405-5968
(912) 354-7679
(912) 354-4018
Mailing address
411 STEPHENSON AVE, SAVANNAH, GA 31405-5968
(912) 354-7679
(912) 354-4018
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
049393
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000900798I
—
GA
05
—
000900798M
—
GA
05
—
00900797H
—
GA
05
—
00900798C
—
GA
05
—
00900798D
—
GA
05
—
00900798E
—
GA
05
—
00900798F
—
GA
05
—
00900798G
—
GA
05
—
00900798H
—
GA
05
—
85003028G
—
GA
01
—
930105831
RAILROAD MEDICARE
GA
Enumeration date
04/12/2007
Last updated
12/03/2013
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