| Coastal Georgia Wellness Center And Family Medicine | |
|
102 Lakeshore Dr Ste B Saint Marys GA 31558-3875 | |
| (912) 576-7546 | |
| (912) 576-2348 |
| Full Name | Coastal Georgia Wellness Center And Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 Lakeshore Dr Ste B, Saint Marys, Georgia |
| Authorized Official Name and Position | Tavia Hall (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9125767546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Georgia Wellness Center And Family Medicine 102 Lakeshore Dr Ste B Saint Marys GA 31558-3875 Ph: (912) 576-7546 | Coastal Georgia Wellness Center And Family Medicine 102 Lakeshore Dr Ste B Saint Marys GA 31558-3875 Ph: (912) 576-7546 |
| NPI Number | 1235632449 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 04/22/2024 |
| Medicare PECOS PAC ID | 4082966411 |
|---|---|
| Medicare Enrollment ID | O20181011001999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235632449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Susan L Fricke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124061700 PECOS PAC ID: 9234123993 Enrollment ID: I20181015000320 |
Albert M Thompson Jr Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Lakeshore Dr Ste B, Saint Marys, GA 31558 Phone: 912-729-2955 Fax: 912-882-4897 | |
Bright Medical Options, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4445 Hwy 40, Saint Marys, GA 31558 Phone: 813-233-6010 | |
Grace Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Lakeshore Dr Ste B, Saint Marys, GA 31558 Phone: 912-729-2955 Fax: 912-882-4897 | |
Ac Optimal Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 Charlie Smith Sr Hwy, Saint Marys, GA 31558 Phone: 912-882-7880 | |
Kings Bay Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 340 Charlie Smith Sr Hwy, Saint Marys, GA 31558 Phone: 912-882-5030 Fax: 888-476-5235 | |
Wecare - Twu Employee Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Industrial Dr, Suite B, Saint Marys, GA 31558 Phone: 912-576-5359 Fax: 912-576-5349 |