Bulk check

Coastal Plain Radiology LLC

Radiology, Diagnostic Radiology in Valdosta, GA. Organization (NPI-2).

NPI number1508417296
StatusActive
Last updated in NPPESFeb 24, 2020

Details

NPI
1508417296
Entity type
Organization (NPI-2)
Legal business name
Coastal Plain Radiology LLC
Organization subpart
No
Enumeration date
Sep 24, 2019
Certification date
Feb 24, 2020
Last updated
Feb 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology––Yes
2085B0100X Radiology, Body Imaging––
2085D0003X Radiology, Diagnostic Neuroimaging––
2085N0700X ––
2085N0904X ––
2085P0229X Radiology, Pediatric Radiology––
2085R0204X Radiology, Vascular & Interventional Radiology––
2085U0001X Radiology, Diagnostic Ultrasound––

Practice location

2501 N Patterson St
Valdosta, GA 31602-1735

Phone 229-433-1000

Mailing address

1125 Troupe St
Augusta, GA 30904-4480

Phone 706-667-7450

Other practice locations

4275 Louis Dr
Valdosta, GA 31605-5857

Phone 205-531-2857

Authorized official

Joshua Stephenson
Direct Owner
2055312857

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Diagnostic Radiology Physician providers in Valdosta, GA

All 13 Diagnostic Radiology Physician providers in Valdosta · All 2,519 providers in Valdosta

Checking a whole list?

Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check