Provider First Line Business Practice Location Address:
2440 OSBORNE ROAD
Provider Second Line Business Practice Location Address:
COASTAL ORTHOPEDIC REHABILITATION CENTER
Provider Business Practice Location Address City Name:
ST MARYS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31558
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-882-3673
Provider Business Practice Location Address Fax Number:
912-882-3640
Provider Enumeration Date:
04/25/2006