| Coastal Foot And Ankle Specialist, Llc | |
|
10 Professional Dr, Brunswick, GA 31520-3774 | |
| (912) 265-0709 | |
| (912) 264-5712 |
| Full Name | Coastal Foot And Ankle Specialist, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 10 Professional Dr, Brunswick, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629447511 | NPI | - | NPPES |
| 400885615D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD000997 (Georgia) | Primary |
| Provider Name | Larry B Dyal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871581744 PECOS PAC ID: 6103803507 Enrollment ID: I20040702000830 |
| Provider Name | Whitney E Mcconnell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902248883 PECOS PAC ID: 2961789714 Enrollment ID: I20170629000703 |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Foot And Ankle Specialist, Llc 10 Professional Dr, Brunswick, GA 31520-3774 Ph: (912) 265-0709 | Coastal Foot And Ankle Specialist, Llc 10 Professional Dr, Brunswick, GA 31520-3774 Ph: (912) 265-0709 |
Gary M Grolemund, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10 Professional Dr, Brunswick, GA 31520 Phone: 912-264-6150 Fax: 912-264-5712 | |
Dr. Matthew C D Eller, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2500 Starling St, Suite 301, Brunswick, GA 31520 Phone: 912-265-4766 Fax: 912-267-9857 | |
Dr. Brett A Bodamer, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2500 Starling St, Suite 301, Brunswick, GA 31520 Phone: 912-265-4766 Fax: 912-267-9857 | |
Gary M. Grolemund, Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10 Professional Dr, Brunswick, GA 31520 Phone: 912-264-6150 | |
Dr. Larry B Dyal Jr., DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10 Professional Dr, Brunswick, GA 31520 Phone: 912-265-0709 Fax: 912-574-5953 | |
Dr. Whitney Ellis Mcconnell, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3226 Hampton Ave Ste F, Brunswick, GA 31520 Phone: 912-629-7800 Fax: 912-355-1414 |