| Marshes Medical Diagnostic Clinic, Pc | |
|
2705 Wildwood Dr Brunswick GA 31520-4346 | |
| (912) 264-6133 | |
| (912) 267-1415 |
| Full Name | Marshes Medical Diagnostic Clinic, Pc |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 2705 Wildwood Dr, Brunswick, Georgia |
| Authorized Official Name and Position | Andrea Page Callahan (SEC/TREAS) |
| Authorized Official Contact | 9122646133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshes Medical Diagnostic Clinic, Pc 2705 Wildwood Dr Brunswick GA 31520-4346 Ph: (912) 264-6133 | Marshes Medical Diagnostic Clinic, Pc 2705 Wildwood Dr Brunswick GA 31520-4346 Ph: (912) 264-6133 |
| NPI Number | 1013922699 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 06/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013922699 | NPI | - | NPPES |
| CL1232 | Other | GA | RAILROAD MEDICARE |
| GRP 1465 | Other | GA | CAHABA MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
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