Organization
SOUTHCOAST MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARRERO (ADMINISTRATOR)
(912) 303-3552
Entity
Organization
Contact information
Practice address
1326 EISENHOWER DR, SAVANNAH, GA 31406-3928
(912) 691-4100
(912) 691-4209
Mailing address
PO BOX 15849, SAVANNAH, GA 31416-2549
(912) 303-3552
(912) 303-3506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
020999
GA
207R00000X
Internal Medicine Physician
038715
GA
207RN0300X
Nephrology Physician
Primary
047425
GA
207W00000X
Ophthalmology Physician
026247
GA
2084N0400X
Neurology Physician
064752
GA
2085R0202X
Diagnostic Radiology Physician
039937
GA
363A00000X
Physician Assistant
5306
GA
363L00000X
Nurse Practitioner
RN077768
GA
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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