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Contact Information

COASTAL SPEECH THERAPY
24 SERENITY FARMS RD
COASTAL SPEECH THERAPY
WOODBINE, GA31569
 Phone: 912-230-0024
 Fax: 912-576-5182
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for COASTAL SPEECH THERAPY

NPI Number 1417099755
LBN Legal business name COASTAL SPEECH THERAPY
Authorized official JEANETTE WILLIAMSON - (OFFICE BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
GA License # CLP005987
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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