Organization
COASTAL PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLI MAGNET FNP (FNP)
(912) 665-6479
Entity
Organization
Contact information
Practice address
314 RIVER BEND RD, RICHMOND HILL, GA 31324-4306
(912) 665-6479
Mailing address
314 RIVER BEND RD, RICHMOND HILL, GA 31324-4306
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
17011151
GA
Other
Enumeration date
02/06/2017
Last updated
03/22/2017
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