Organization
COASTAL UROLOGICAL PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL EVANS (BILLING/INSURANCE SUPERVISOR)
(912) 920-0055
Entity
Organization
Contact information
Practice address
11706 MERCY BLVD, PLAZA A, SUITE 10, SAVANNAH, GA 31419-1751
(912) 920-0055
(912) 920-3367
Mailing address
11706 MERCY BLVD, PLAZA A, SUITE 10, SAVANNAH, GA 31419-1751
(912) 920-0055
(912) 920-3367
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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