Organization
COASTAL AMBULATORY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNG SUH MD (CHIEF MEDICAL OFFICER)
(404) 881-1094
Entity
Organization
Contact information
Practice address
1139 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 429-9020
(912) 352-0793
Mailing address
PO BOX 16087, SAVANNAH, GA 31416-2787
(912) 429-9020
(912) 352-0793
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
GA
Other
Enumeration date
10/29/2015
Last updated
07/24/2022
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