| Primedoc Of Brunswick Inc | |
|
2415 Parkwood Dr Brunswick GA 31520-4722 | |
| (912) 466-7000 | |
| (912) 466-7026 |
| Full Name | Primedoc Of Brunswick Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2415 Parkwood Dr, Brunswick, Georgia |
| Authorized Official Name and Position | Robert J Reynolds (PRESIDENT/OWNER) |
| Authorized Official Contact | 8282103260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primedoc Of Brunswick Inc Po Box 602287 Charlotte NC 28260-2287 Ph: (828) 210-3260 | Primedoc Of Brunswick Inc 2415 Parkwood Dr Brunswick GA 31520-4722 Ph: (912) 466-7000 |
| NPI Number | 1528298536 |
|---|---|
| Provider Enumeration Date | 07/24/2009 |
| Last Update Date | 07/24/2009 |
| Medicare PECOS PAC ID | 7315084407 |
|---|---|
| Medicare Enrollment ID | O20091022000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528298536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tammy M Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861550865 PECOS PAC ID: 0244256196 Enrollment ID: I20091022000009 |
| Provider Name | David L Lawson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427064484 PECOS PAC ID: 2668511460 Enrollment ID: I20091208000717 |
| Provider Name | George Mccaskill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689619678 PECOS PAC ID: 3971589656 Enrollment ID: I20100125000123 |
| Provider Name | John E Shaner |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285624411 PECOS PAC ID: 3779479514 Enrollment ID: I20110504000094 |
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