| Brunswick Medical Llc | |
|
1111 Glynco Pkwy Ste 10 Brunswick GA 31525-7930 | |
| (912) 574-4313 | |
| Not Available |
| Full Name | Brunswick Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1111 Glynco Pkwy Ste 10, Brunswick, Georgia |
| Authorized Official Name and Position | Jeuslyn Chandler (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3057940970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brunswick Medical Llc 1111 Glynco Pkwy Building 1 Suite 10 Brunswick GA 31525-2726 Ph: (912) 574-4313 | Brunswick Medical Llc 1111 Glynco Pkwy Ste 10 Brunswick GA 31525-7930 Ph: (912) 574-4313 |
| NPI Number | 1639959299 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 03/15/2024 |
| Medicare PECOS PAC ID | 8022455724 |
|---|---|
| Medicare Enrollment ID | O20240318000742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639959299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jeuslyn Chandler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356680359 PECOS PAC ID: 8224271374 Enrollment ID: I20130821000614 |
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