| NPI | 1912003401 |
|---|---|
| Doing Business As | COASTAL NEUROLOGICAL INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | CARL T SHENKMAN CEO 912-265-1357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 036000) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2011-11-03 |