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NPI Code Detail

MEDICARE: COASTAL HEALTH DISTRICT

MEDICARE: COASTAL HEALTH DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN165520GA

General Provider Information

NPI Number : 1275937807
Entity Type Code : Organization
Provider Name (Legal Business Name) : COASTAL HEALTH DISTRICT
Provider Business Mailing Address
First Line : 1113 E OGLETHORPE HWY
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-1200
Country : US
Telephone Number : 912-876-2173
Fax Number : 912-368-8033
Provider Business Practice Location Address
First Line : 1113 E OGLETHORPE HWY
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-1200
Country : US
Telephone Number : 912-876-2173
Fax Number : 912-368-8033
Authorized Official
Title or Position : NURSE SPECIALIST
Name : MRS. LATONYA BLEVINS TURNER
Credential : RN
Telephone Number : 912-876-2173
Provider Enumeration Date : 10/10/2014
Last Update Date : 10/10/2014

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Directions to “COASTAL HEALTH DISTRICT ” Practice Location

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