Graduated: 2001
NPI: 1598768145
Practice Locations (2)
COASTAL COMMUNITY HEALTH SERVICES INC
22385 FLORA PARKE XING
FERNANDINA BEACH, FL 320348000
9044048641
COASTAL COMMUNITY HEALTH SERVICES INC
202 LAKESHORE DR
SAINT MARYS, GA 315583876
9125745084
Source: CMS National Downloadable File, September 2026.