Provider First Line Business Practice Location Address:
COASTAL NURSE PRACTITIONER SERVICES
Provider Second Line Business Practice Location Address:
4358 OLD SHELL ROAD, STE B234
Provider Business Practice Location Address City Name:
MOBILE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-868-0012
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/26/2018