Coastal Primary Care, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

17011151 Issued in GA

Legal business name

COASTAL PRIMARY CARE, LLC

Practice address

314 River Bend Rd
Richmond Hill, GA 31324-4306

Phone

(912) 665-6479

NPI assigned

Feb 6, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marli Magnet, FNP

Title

FNP

Phone

(912) 665-6479

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1881132264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 RIVER BEND RD",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313244306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 RIVER BEND RD",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313244306",
            "telephone_number": "912-665-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "MAGNET",
        "authorized_official_first_name": "MARLI",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "912-665-6479",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "17011151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.