Organization
COASTAL COMMUNITY HEALTH SERVICES, INC.
Active
Other names
Heron Health Center- School Based Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KAVANAUGH CHANDLER MD (CEO)
(912) 275-8028
Entity
Organization
Contact information
Practice address
10804 HIGHWAY 82, NAHUNTA, GA 31553-3704
(912) 342-7281
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
03/08/2025
Last updated
10/16/2025
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