Organization
COASTAL RHEUMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES FREDERICK DEGENHARDT III MD (OWNER)
(912) 349-4227
Entity
Organization
Contact information
Practice address
4849 PAULSEN ST, SUITE 312, SAVANNAH, GA 31405-4423
(912) 349-4227
Mailing address
4849 PAULSEN ST, SUITE 312, SAVANNAH, GA 31405-4423
(912) 349-4227
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
GA
Other
Enumeration date
05/19/2014
Last updated
02/06/2017
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