Organization
COASTAL COMMUNITY HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAVANAUGH CHANDLER (CEO)
(912) 275-8028
Entity
Organization
Contact information
Practice address
6574 SHELLMAN BLUFF RD NE, TOWNSEND, GA 31331-4676
(912) 623-4755
(912) 549-1040
Mailing address
100 PROFESSIONAL CENTER DR, BRUNSWICK, GA 31525-6743
(912) 275-8028
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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