| Act Team | |
|
3441 Cypress Mill Rd Brunswick GA 31520-2878 | |
| (912) 554-8498 | |
| Not Available |
| Full Name | Act Team |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3441 Cypress Mill Rd, Brunswick, Georgia |
| Authorized Official Name and Position | Wakeitha Vail (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9125548498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Act Team 2 Lodge Rd Hwy 17 North Brunswick GA 31525-2011 Ph: () - | Act Team 3441 Cypress Mill Rd Brunswick GA 31520-2878 Ph: (912) 554-8498 |
| NPI Number | 1366737330 |
|---|---|
| Provider Enumeration Date | 06/17/2011 |
| Last Update Date | 06/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366737330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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