| NPI | 1396258323 |
|---|---|
| Other Name | COASTAL EMPIRE ORTHOPEDICS LLC |
| Entity Type | Organization |
| Authorized Contact | LORI WECHSLER Biller 912-844-7513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: GA 75377) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2021-10-12 |