| Coastal Healthcare Llc | |
|
204 Butler St Midway GA 31320-4596 | |
| (912) 884-9255 | |
| (912) 884-9257 |
| Full Name | Coastal Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 204 Butler St, Midway, Georgia |
| Authorized Official Name and Position | Ashley Peter Nagel (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9124415240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Healthcare Llc 204 Butler St Midway GA 31320-4596 Ph: (912) 884-9255 | Coastal Healthcare Llc 204 Butler St Midway GA 31320-4596 Ph: (912) 884-9255 |
| NPI Number | 1700543071 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 11/22/2021 |
| Medicare PECOS PAC ID | 8426449265 |
|---|---|
| Medicare Enrollment ID | O20220105000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700543071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20220708001416 |
Liberty Regional Medical Associates Primary Care-midway Campus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 Islands Highway, Midway, GA 31320 Phone: -- | |
Prime Care Medical Services Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 242 South Coastal Hwy 17, Midway, GA 31320 Phone: 912-884-3444 Fax: 912-884-3456 |