Organization
COASTAL MED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI WOOD (PRACTICE MANAGER)
(478) 984-6742
Entity
Organization
Contact information
Practice address
120 COLEMAN CT, PAWLEYS ISLAND, SC 29585-7396
(789) 846-7424
Mailing address
120 COLEMAN CT, PAWLEYS ISLAND, SC 29585-7396
(789) 846-7424
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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