SOUTHERN COASTAL ENT PC

BRUNSWICK, GA
NPI1104905405
Entity TypeOrganization
Authorized ContactSHERMAN A STEVENSON
Owner
912-265-3210
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: GA  057327)
Enumeration Date2006-11-06
Last Update Date2008-07-15
Business Address
SOUTHERN COASTAL ENT PC
2500 STARLING ST SUITE 403
BRUNSWICK, GA 31520-4265
Phone number: 912-265-3210
Mailing Address
SOUTHERN COASTAL ENT PC
2500 STARLING ST SUITE 403
BRUNSWICK, GA 31520-4265
Phone number: 912-265-3210
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