| NPI | 1710869250 |
|---|---|
| Doing Business As | COASTAL CARE VITALITY |
| Entity Type | Organization |
| Authorized Contact | MERLAN POWELL Executive Director 912-598-6312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-11-18 |