NPI 1881947802

Southcoast Medical Group, LLC

Organisation Family Medicine Physician Richmond Hill, GA

Practice location

Address: 3780 US Highway 17, Richmond Hill, GA 31324-3378
Phone: (912) 756-2292
Fax: (912) 756-2289
Mailing address: PO Box 15849, Savannah, GA 31416-2549

Authorised official

Name: John Marrero
Title: Administrator
Phone: (912) 303-3552

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 042084 (GA)

Other Family Medicine providers in Georgia →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 039759 (GA)

Other Internal Medicine providers in Georgia →

Registry record

NPI: 1881947802
Entity type: Organization
NPI issued: 16 Oct 2012
Record last updated: 16 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.