| Benjamin Sandifer, MD | |
|
617 Palisade Dr, Brunswick, GA 31523-8211 | |
| (912) 694-1094 | |
| Not Available |
| Full Name | Benjamin Sandifer |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 617 Palisade Dr, Brunswick, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609432699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 92625 (Georgia) | Primary |
| Entity Name | Cooperative Healthcare Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Sandifer, MD 617 Palisade Dr, Brunswick, GA 31523-8211 Ph: (912) 694-1094 | Benjamin Sandifer, MD 617 Palisade Dr, Brunswick, GA 31523-8211 Ph: (912) 694-1094 |
Dr. Shontae R Buffington, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3300 4th St, Brunswick, GA 31520 Phone: 912-466-5870 Fax: 912-466-5883 | |
Michael Townsend Cooper Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3208 Shrine Rd, Brunswick, GA 31520 Phone: 912-265-2036 Fax: 912-265-6779 | |
Dr. Helene Victoria Coyle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3208 Shrine Rd, Brunswick, GA 31520 Phone: 912-265-2036 Fax: 912-265-6779 | |
Dr. Evelyn Delois Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Gloucester St, Brunswick, GA 31520 Phone: 912-265-8080 Fax: 912-265-8513 | |
Dr. Amanda Grounds Joseph, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 Glynco Pkwy Ste 31, Brunswick, GA 31525 Phone: 912-456-3605 | |
Elena V Bryant, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3300 4th St, Brunswick, GA 31520 Phone: 912-466-5870 | |
Stephen James Thompson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3208 Shrine Rd, Brunswick, GA 31520 Phone: 912-265-2036 Fax: 912-265-6779 |