| NPI | 1053552513 |
|---|---|
| Doing Business As | COASTAL EAR NOSE & THROAT |
| Entity Type | Organization |
| Authorized Contact | RHONDA OLIVER Practice Administrator 912-355-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 225100000X Physical Therapist |
| 231H00000X Audiologist | |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2018-07-13 |