Benjamin Sandifer, MD | |
7000 Wellness Way Ste 7230, St Simons Island, GA 31522-2286 | |
(804) 828-9783 | |
Not Available |
Full Name | Benjamin Sandifer |
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Gender | Male |
Speciality | Pediatrics |
Location | 7000 Wellness Way Ste 7230, St Simons Island, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1609432699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 92625 (Georgia) | Primary |
Entity Name | Cooperative Healthcare Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
Mailing Address | Practice Location Address |
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Benjamin Sandifer, MD 7000 Wellness Way Ste 7230, St Simons Island, GA 31522-2286 Ph: (804) 828-9783 | Benjamin Sandifer, MD 7000 Wellness Way Ste 7230, St Simons Island, GA 31522-2286 Ph: (804) 828-9783 |
Dr. Melissa A Wood-katz, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7000 Wellness Way Ste 7230, St Simons Island, GA 31522 Phone: 912-634-2795 Fax: 912-638-5636 | |
Melinda H Peterlin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7000 Wellness Way Ste 7230, St Simons Island, GA 31522 Phone: 912-634-2795 Fax: 912-638-5636 | |
Neil E. Goodman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5500 Frederica Rd Unit 2208, St Simons Island, GA 31522 Phone: 912-268-4633 Fax: 888-771-6577 | |
Mrs. Leanna Meade Hollander, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7000 Wellness Way Ste 7230, St Simons Island, GA 31522 Phone: 912-634-2795 Fax: 912-638-5636 |