| Oral Surgery Group Of Coastal Georgia, Llc | |
|
506 Us Highway 80 W Pooler GA 31322 | |
| (912) 330-9229 | |
| (912) 330-9220 |
| Full Name | Oral Surgery Group Of Coastal Georgia, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 506 Us Highway 80 W, Pooler, Georgia |
| Authorized Official Name and Position | Stephen James (CFO) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Group Of Coastal Georgia, Llc 506 Us Highway 80 W Pooler GA 31322-2104 Ph: (912) 330-9229 | Oral Surgery Group Of Coastal Georgia, Llc 506 Us Highway 80 W Pooler GA 31322 Ph: (912) 330-9229 |
| NPI Number | 1982722013 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982722013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN013242 (Georgia) | Primary |
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