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Contact Information

COASTAL CHRONIC PAIN SERVICES, PLLC
15190 COMMUNITY RD STE 230B
GULFPORT, MS39503-3483
 Phone: 228-831-0050
 Fax: 228-831-1121
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for COASTAL CHRONIC PAIN SERVICES, PLLC

NPI Number 1134214331
LBN Legal business name COASTAL CHRONIC PAIN SERVICES, PLLC
Authorized official DIANE SCHULTZ - (DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/04/2006
Last updated 11/09/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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