Organization
COASTAL MEDICAL MGMT. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANETTE ROBBINS (PRESIDENT)
(251) 634-0676
Entity
Organization
Contact information
Practice address
7268A COTTAGE HILL RD, MOBILE, AL 36695-2825
(251) 634-0676
(251) 634-0677
Mailing address
7268A COTTAGE HILL RD, MOBILE, AL 36695-2825
(251) 634-0676
(251) 634-0677
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2006-009758
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51031198
BLUE CROSS PROVIDER #
AL
Enumeration date
09/27/2006
Last updated
08/22/2020
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