Organization
COASTAL FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE MANAS BODINE ARNP (NURSE PRACTITIONER)
(251) 213-5824
Entity
Organization
Contact information
Practice address
1807 N MCKENZIE ST, FOLEY, AL 36535-2326
(251) 213-5824
Mailing address
1807 N MCKENZIE ST, FOLEY, AL 36535-2326
(251) 215-4004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
05/31/2022
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