| Andrew J Hurayt Md Pc | |
|
1421 Lee St Brunswick GA 31520-7132 | |
| (912) 261-0510 | |
| (912) 261-0593 |
| Full Name | Andrew J Hurayt Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1421 Lee St, Brunswick, Georgia |
| Authorized Official Name and Position | Andrew J Hurayt (PRESIDENT) |
| Authorized Official Contact | 9122610510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew J Hurayt Md Pc Po Box 918 Brunswick GA 31521-0918 Ph: (912) 261-0510 | Andrew J Hurayt Md Pc 1421 Lee St Brunswick GA 31520-7132 Ph: (912) 261-0510 |
| NPI Number | 1346317146 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 03/06/2008 |
| Medicare PECOS PAC ID | 0143308486 |
|---|---|
| Medicare Enrollment ID | O20080428000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346317146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 015196 (Georgia) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 015196 (Georgia) | Secondary |
| Provider Name | Andrew J Hurayt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770753089 PECOS PAC ID: 2668550344 Enrollment ID: I20080422000081 |
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