| Southeast Georgia Health System - Brunswick Campus | |
|
2415 Parkwood Dr Brunswick GA 31520-4722 | |
| (912) 466-7000 | |
| (912) 466-7026 |
| Full Name | Southeast Georgia Health System - Brunswick Campus |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 2415 Parkwood Dr, Brunswick, Georgia |
| Authorized Official Name and Position | Scott Raynes (PRESIDENT & CEO) |
| Authorized Official Contact | 9124667049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Georgia Health System - Brunswick Campus 2415 Parkwood Dr Brunswick GA 31520-4722 Ph: (912) 466-7000 | Southeast Georgia Health System - Brunswick Campus 2415 Parkwood Dr Brunswick GA 31520-4722 Ph: (912) 466-7000 |
| NPI Number | 1598784720 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 11/07/2022 |
| Certification Date | 02/21/2022 |
| Medicare PECOS PAC ID | 8729076740 |
|---|---|
| Medicare Enrollment ID | O20150727001317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598784720 | NPI | - | NPPES |
| 00000822A | Medicaid | GA | |
| 51000165 | Other | GA | BLUE CROSS BLUE SHIELD |
| 586000498 | Other | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | 063-064 (Georgia) | Primary |
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Jessica Poe P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3441 Cypress Mill Rd Ste 101, Brunswick, GA 31520 Phone: 912-275-4763 Fax: 912-216-3668 | |
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Radiant Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 513 Gloucester St, Brunswick, GA 31520 Phone: 912-580-9580 Fax: 912-289-9389 | |
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