Coastal Voice & Dysphagia Diagnostics, LLC
Clinic/Center, Multi-Specialty in Statesboro, GA. Organization (NPI-2).
NPI number1194358150
StatusActive
Last updated in NPPESJul 30, 2025
Details
- NPI
- 1194358150
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Voice & Dysphagia Diagnostics, LLC
- Organization subpart
- Yes
- Enumeration date
- Feb 18, 2020
- Certification date
- Jul 30, 2025
- Last updated
- Jul 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 261QR0400X | Clinic/Center, Rehabilitation | – | – |
Other names
- Coastal Plain Therapy & Wellness (Doing Business As)
Practice location
24 S Zetterower AveStatesboro, GA 30458-4866
Phone 912-299-2394
Mailing address
Po Box 2356Statesboro, GA 30459-2356
Phone 912-687-1026
Authorized official
Sarah Rapillard
Owner, Speech-Language Pathologists
9126871026
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