Organization
COASTAL FOOT AND ANKLE SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICHOLE DANIELLE MANNING (OFFICE MANAGER)
(912) 265-0709
Entity
Organization
Contact information
Practice address
10 PROFESSIONAL DR, BRUNSWICK, GA 31520-3774
(912) 265-0709
(912) 264-5712
Mailing address
10 PROFESSIONAL DR, BRUNSWICK, GA 31520-3774
(912) 265-0709
(912) 264-5712
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000997
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400885615D
—
GA
Enumeration date
09/21/2015
Last updated
01/17/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us