| Coastal Georgia Child Neurology | |
|
139 Altama Connector Pmb 316 Brunswick GA 31525-1888 | |
| (864) 884-1137 | |
| (912) 330-1009 |
| Full Name | Coastal Georgia Child Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 139 Altama Connector, Brunswick, Georgia |
| Authorized Official Name and Position | Maynard Ashley Hutson (OWNER/MANAGER) |
| Authorized Official Contact | 8648841137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Georgia Child Neurology 139 Altama Connector Pmb 316 Brunswick GA 31525-1888 Ph: (864) 884-1137 | Coastal Georgia Child Neurology 139 Altama Connector Pmb 316 Brunswick GA 31525-1888 Ph: (864) 884-1137 |
| NPI Number | 1376998096 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 05/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376998096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 75523 (Georgia) | Primary |
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