Organization
COASTAL CARE MANAGEMENT SERVICES LLC
Active
Other names
Coastal Care Vitality
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MERLAN POWELL CPA (EXECUTIVE DIRECTOR)
(912) 598-6312
Entity
Organization
Contact information
Practice address
4 SKIDAWAY VILLAGE WALK STE B, SAVANNAH, GA 31411-2962
(912) 598-6312
Mailing address
4 SKIDAWAY VILLAGE WALK STE B, SAVANNAH, GA 31411-2962
(912) 598-6312
(912) 480-9897
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
07/24/2025
Last updated
12/19/2025
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