Organization
COASTAL CARE MANAGEMENT SERVICES LLC
Active
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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