Organization
COASTAL COMMUNITY HEALTH SERVICES, INC.
Active
Other names
Coastal Community Health St. Simon's Island Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVANAUGH CHANDLER MD (CEO)
(912) 275-8028
Entity
Organization
Contact information
Practice address
7000 WELLNESS WAY STE 7230, ST SIMONS ISLAND, GA 31522-2286
(912) 466-5840
Mailing address
100 PROFESSIONAL CENTER DR, BRUNSWICK, GA 31525-6743
(912) 574-5075
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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