SE COSTAL LASER SERVICES, LLC


Address: 2351 College Station Rd, Athens, GA 30605-3619
Phone: 5205474130

SE COSTAL LASER SERVICES, LLC (NPI# 1215115316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215115316
Entity Type Organization
Organization Name SE COSTAL LASER SERVICES, LLC
Practice Address 2351 College Station Rd
Athens
GA 30605-3619
Mailing Address 6339 E Speedway Blvd
Suite 201
Tucson
AZ 85710-1147
Practice Telephone 5205474130
Practice Fax Number 5202580304
Mailing Telephone 5205474130
Mailing Fax Number 5202580304
Enumeration Date 2008-01-31
Last Update Date 2008-06-06
Authorized Official Name MARY ANN EVANOSKI (BILLING MANAGER)
Authorized Official Telephone 5205474130
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 2351 COLLEGE STATION RD
City ATHENS
State GA
Zip Code 30605-3619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043498199 Athens Lithotrispy, LLC Clinic/Center 2351 College Station Rd, Suite 558, Athens, GA 30605-3619 2008-01-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811413701 Lifecare Pharmacy Ga Corp Pharmacy 130 Gains School Rd, Athens, GA 30605 2017-08-22
1194245423 Melissa Brooke Wilson Speech-Language Pathologist 345 Research Drive Apartment 76, Athens, GA 30605 2017-06-27
1467982512 Beth Kay Mcdonald Counselor 455 S Lumpkin St, Athens, GA 30605 2017-06-12
1841741063 Jessica Parker Specialist 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 2016-10-24
1417374869 Northeast Georgia Wellness Associates, LLC Dietitian, Registered 1197 Cedar Shoals Drive #103, Athens, GA 30605 2014-03-24
1245571272 Optimum Medical Healthcare Durable Medical Equipment & Medical Supplies 1715 Cedar Shoals Drive, Athens, GA 30605 2013-03-15
1972850709 Sandra Joy Motte Occupational Therapy Assistant 275 Woodgrove Dr, Athens, GA 30605 2012-08-10
1124309851 Kasey Brown Social Worker 188 S. Milledge Ave., Suite 2, Athens, GA 30605 2011-09-08
1154652071 Chris Mayo Counseling and Psychotherapy, Lcsw, LLC Social Worker 135 Milford Dr, Athens, GA 30605 2010-01-15
1700039732 Andrew Case Psychologist 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 2008-11-04
Find all providers in zip 30605

Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720602683 Georgia Eye Surgery LLC Clinic/Center 1620 Prince Ave Ste B, Athens, GA 30606-6008 2020-06-05
1649790171 Athens Spine Procedural Center LLC Clinic/Center 1550 Timothy Rd Ste 103, Athens, GA 30606-7836 2017-06-26
1265709968 Lumpkin Surgery Center Clinic/Center 1300 Crystal Hills Dr, Athens, GA 30606-5304 2011-11-23
1962453175 The Surgery Center of Athens, LLC. Clinic/Center 105 N Meadows Dr, Athens, TN 37303-4172 2006-05-12
1033583836 Advanced Gynecologic Surgery Center Clinic/Center 1000 Hawthorne Ave, Suite V, Athens, GA 30606-2168 2015-11-18
1700269354 Southeast Ohio Surgical Suites, LLC Clinic/Center 20 University Estates Blvd, Suite 110, Athens, OH 45701-2869 2015-07-01
1801277819 Hawthorne Surgery Center LLC Clinic/Center 1000 Hawthorne Ave, Suite U, Athens, GA 30606-2168 2015-06-16
1316290380 Athens Surgery Center LLC Clinic/Center 105 N Meadows Dr, Athens, TN 37303-4172 2012-10-16
1508135658 Surgery Center of Athens LLC Clinic/Center 2142 W Broad St, Suite 100, Athens, GA 30606-3546 2011-12-19
1699057810 Oral & Maxillofacial Surgery Center of Athens, LLC Clinic/Center 600 Oglethorpe Ave, Suite 4, Athens, GA 30606-2263 2011-09-13
Find all providers in ATHENS

Competitor

Search similar providers

City ATHENS
Zip Code 30605

Improve Information

Please comment or provide details below to improve the information on SE COSTAL LASER SERVICES, LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches