| NPI | 1841167194 |
|---|---|
| Doing Business As | COASTAL FAMILY HEALTH CENTER CONVENIENT CARE |
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE GREER CEO 228-374-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-21 |