| Samantha Meeks Family Practice, Llc | |
|
17 Professional Dr Ste 100 Brunswick GA 31520-3784 | |
| (912) 574-5838 | |
| (855) 608-8655 |
| Full Name | Samantha Meeks Family Practice, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17 Professional Dr Ste 100, Brunswick, Georgia |
| Authorized Official Name and Position | Samantha R Meeks (OWNER) |
| Authorized Official Contact | 9125745819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Meeks Family Practice, Llc 17 Professional Dr Ste 100 Brunswick GA 31520-3784 Ph: (912) 574-5838 | Samantha Meeks Family Practice, Llc 17 Professional Dr Ste 100 Brunswick GA 31520-3784 Ph: (912) 574-5838 |
| NPI Number | 1417593955 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 11/19/2019 |
| Medicare PECOS PAC ID | 0446681381 |
|---|---|
| Medicare Enrollment ID | O20200511000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417593955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Samantha R Meeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508870460 PECOS PAC ID: 0345231536 Enrollment ID: I20140421001705 |
| Provider Name | Kelsey Russell Key |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225734999 PECOS PAC ID: 2668845397 Enrollment ID: I20230228002680 |
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