Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Coastal ENT PC

Organization Otolaryngology Physician · NPI 1104905405

Southern Coastal ENT PC is an Otolaryngology Physician in Brunswick, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2500 Starling St Ste 403
Brunswick, GA 31520-4265
Phone: (912) 265-3210
Fax: (912) 265-1481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 057327 (GA)

Record details

NPI number1104905405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sherman Stevenson — Owner · (912) 265-3210
NPI enumeratedNovember 6, 2006
Last updated in NPPESJuly 15, 2008
Mailing address2500 Starling St, Suite 403, Brunswick, GA 31520-4265

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