Organization
COASTAL EMPIRE SURGICAL ASSISTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WECHSLER (BILLING MANAGER)
(912) 844-7513
Entity
Organization
Contact information
Practice address
6715 FOREST PARK DR, SAVANNAH, GA 31406-2507
(912) 844-7513
Mailing address
2 MODENA RD, SAVANNAH, GA 31411-2121
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
75377
GA
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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