| Coastal Family Medicine, Pc | |
|
390 Eh Ct Brunswick GA 31520-2198 | |
| (912) 267-4900 | |
| (912) 267-4960 |
| Full Name | Coastal Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 390 Eh Ct, Brunswick, Georgia |
| Authorized Official Name and Position | Daniel Miller (CFO) |
| Authorized Official Contact | 9122674900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Family Medicine, Pc 390 Eh Ct Brunswick GA 31520-2198 Ph: (912) 267-4900 | Coastal Family Medicine, Pc 390 Eh Ct Brunswick GA 31520-2198 Ph: (912) 267-4900 |
| NPI Number | 1548662042 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 09/16/2014 |
| Medicare PECOS PAC ID | 4789909474 |
|---|---|
| Medicare Enrollment ID | O20150223000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548662042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 46996 (Georgia) | Primary |
| Provider Name | Jennifer K Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316061831 PECOS PAC ID: 9436102654 Enrollment ID: I20050301000067 |
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