| Georgia Coast Family Medicine | |
|
160 Juniper Ct Ste 101 Brunswick GA 31520-1952 | |
| (912) 265-6711 | |
| Not Available |
| Full Name | Georgia Coast Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 160 Juniper Ct Ste 101, Brunswick, Georgia |
| Authorized Official Name and Position | Richard Mcewan (PRESIDENT) |
| Authorized Official Contact | 9122656711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Coast Family Medicine 160 Juniper Ct Ste 101 Brunswick GA 31520-1952 Ph: (912) 265-6711 | Georgia Coast Family Medicine 160 Juniper Ct Ste 101 Brunswick GA 31520-1952 Ph: (912) 265-6711 |
| NPI Number | 1255602116 |
|---|---|
| Provider Enumeration Date | 01/24/2012 |
| Last Update Date | 01/24/2012 |
| Medicare PECOS PAC ID | 9830352806 |
|---|---|
| Medicare Enrollment ID | O20120531000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255602116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 35688 (Georgia) | Primary |
| Provider Name | Richard P Mcewan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952531493 PECOS PAC ID: 5597817403 Enrollment ID: I20090723000121 |
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