Organization
COASTAL ALLERGY & ASTHMA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESSIE J ADAMS CMPE (PRACTICE ADMINISTRATOR)
(912) 354-6190
Entity
Organization
Contact information
Practice address
505 EISENHOWER DR, SAVANNAH, GA 31406-2668
(912) 354-6190
(912) 354-6172
Mailing address
505 EISENHOWER DR, SAVANNAH, GA 31406-2668
(912) 354-6190
(912) 354-6172
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C16208
RAILROAD MEDICARE GROUP #
GA
Enumeration date
06/01/2006
Last updated
11/04/2022
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