| Southeast Georgia Regional Medical Center | |
|
2415 Parkwood Dr Brunswick GA 31520-4722 | |
| (912) 466-7000 | |
| (912) 466-7026 |
| Full Name | Southeast Georgia Regional Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2415 Parkwood Dr, Brunswick, Georgia |
| Authorized Official Name and Position | Michael David Scherneck (EXECUTIVE VICE PRESIDENT & CFO) |
| Authorized Official Contact | 9124667049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Georgia Regional Medical Center 2415 Parkwood Dr Brunswick GA 31520-4722 Ph: (912) 466-7000 | Southeast Georgia Regional Medical Center 2415 Parkwood Dr Brunswick GA 31520-4722 Ph: (912) 466-7000 |
| NPI Number | 1649293440 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649293440 | NPI | - | NPPES |
| 00000822A | Medicaid | GA | |
| 51000165 | Other | GA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 063-064 (Georgia) | Primary |
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Radiant Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 502 Gloucester St Ste 204, Brunswick, GA 31520 Phone: 912-580-9580 Fax: 912-289-9389 | |
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