Organization
COASTAL FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MILLER M.D. (CFO)
(912) 267-4900
Entity
Organization
Contact information
Practice address
390 EH CT, BRUNSWICK, GA 31520-2198
(912) 267-4900
(912) 267-4960
Mailing address
390 EH CT, BRUNSWICK, GA 31520-2198
(912) 267-4900
(912) 267-4960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46996
GA
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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