| Jacob Marshall Elam, MD | |
|
2500 Starling St Ste 602, Brunswick, GA 31520-4271 | |
| (912) 466-4669 | |
| (912) 265-3580 |
| Full Name | Jacob Marshall Elam |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 2500 Starling St Ste 602, 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 |
|---|---|---|---|
| 1982163846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 100779 (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 |
|---|---|
| Jacob Marshall Elam, MD 2415 Parkwood Dr, Brunswick, GA 31520-4722 Ph: (912) 261-0447 | Jacob Marshall Elam, MD 2500 Starling St Ste 602, Brunswick, GA 31520-4271 Ph: (912) 466-4669 |
Joseph Anthony Lanzone Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2500 Starling St, Suite 406, Brunswick, GA 31520 Phone: 912-261-0447 Fax: 912-261-1847 | |
Eric Flynt Thomas, MD Urology Medicare: Medicare Enrolled Practice Location: 2500 Starling St Ste 602, Brunswick, GA 31520 Phone: 912-466-4669 Fax: 912-466-3580 | |
Dr. Jack Marlin Amie Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2418 Parkwood Dr, Brunswick, GA 31520 Phone: 912-264-6362 Fax: 912-264-6352 | |
Dr. David M Kranc, M.D., PHD Urology Medicare: Accepting Medicare Assignments Practice Location: 2500 Starling St, Suite 602, Brunswick, GA 31520 Phone: 912-265-1300 Fax: 912-265-3580 | |
James Morris Muse Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2500 Starling St, Suite 406, Brunswick, GA 31520 Phone: 912-261-0447 Fax: 912-261-1847 | |
Andrew Craig Mcgregor, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2500 Starling St Ste 602, Brunswick, GA 31520 Phone: 912-265-1300 Fax: 912-265-3580 |