Organization
COASTAL PEDIATRICS, LLC
Active
Other names
Coastal Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUDLEY W. STONE M.D. (OWNER)
(912) 353-7744
Entity
Organization
Contact information
Practice address
1000 TOWNE CENTER BLVD STE 1000B, POOLER, GA 31322
(912) 353-7744
(912) 348-3589
Mailing address
1000 TOWNE CENTER BLVD STE 1000B, POOLER, GA 31322-4129
(912) 353-7744
(912) 348-3589
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
051088
GA
Other
Enumeration date
02/01/2007
Last updated
08/17/2018
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