| Mrs Elizabeth J Sudduth, MD | |
|
2415 Parkwood Dr, Brunswick, GA 31520-4722 | |
| (912) 466-5196 | |
| (912) 466-5197 |
| Full Name | Mrs Elizabeth J Sudduth |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2415 Parkwood 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 |
|---|---|---|---|
| 1417020272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 031267 (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 |
|---|---|
| Mrs Elizabeth J Sudduth, MD Po Box 1213, Burnswick, GA 31521-1213 Ph: (912) 466-5196 | Mrs Elizabeth J Sudduth, MD 2415 Parkwood Dr, Brunswick, GA 31520-4722 Ph: (912) 466-5196 |
Avery Wade Strickland, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2500 Starling St, Suite #404, Brunswick, GA 31520 Phone: 912-264-1520 Fax: 912-264-1526 | |
Ms. Stephanie Irene Spencer, APRN Infectious Disease Medicare: May Accept Medicare Assignments Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-7681 Fax: 912-264-2788 | |
Christopher Kolasa, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3025 Shrine Rd Ste 450, Brunswick, GA 31520 Phone: 912-264-6133 Fax: 912-267-1415 | |
William George Grubb, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3025 Shrine Rd, Suite 450, Brunswick, GA 31520 Phone: 912-264-6133 Fax: 912-267-1415 | |
Viagnehy Fernandez, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-7188 Fax: 912-466-7185 | |
Jordan Ahnert, APRN Infectious Disease Medicare: Medicare Enrolled Practice Location: 3226 Hampton Ave Ste A, Brunswick, GA 31520 Phone: 912-264-0760 | |
Mrs. Margaret Stoakes Tuten, FNPC, CDE Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 2500 Starling St, Suite 605, Brunswick, GA 31520 Phone: 912-466-5601 Fax: 912-466-5613 |