| NPI | 1093097396 |
|---|---|
| Former Legal Business Name | COASTAL EMPIRE PLASTIC SURGERY, PC |
| Entity Type | Organization |
| Authorized Contact | BARBARA KEEL Patient Account Manager 912-920-5624 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2018-05-30 |