DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COASTLINE MEDICAL CENTER, PLLC

Active Organization

COASTLINE MEDICAL CENTER, PLLC is a Internal Medicine organization located in DIBERVILLE, Mississippi. NPI 1952525859 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · DIBERVILLE, MS

Registration Details

NPI Number
1952525859
Provider Type
Organization
NPI Issued
Apr 12, 2007 (19.153546480199 yrs)
Last Updated
Jan 4, 2011
Licenses
19050 (MS)
19541 (MS)

Practice Information

Address
10536 AUTO MALL PKWY
SUITE A
DIBERVILLE, MS, 395403742
Browse MS providers · Browse ZIP 39540
Phone
2283960333
Fax
2283964060
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.