| Curtis V. Cooper Primary Health Care, Inc. | |
|
304 Stephenson Ave Savannah GA 31405-5929 | |
| (912) 527-1000 | |
| (912) 527-1155 |
| Full Name | Curtis V. Cooper Primary Health Care, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 304 Stephenson Ave, Savannah, Georgia |
| Authorized Official Name and Position | Earlene Joiner Daniels (CFO) |
| Authorized Official Contact | 9125271088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Curtis V. Cooper Primary Health Care, Inc. 106 E Broad St Savannah GA 31401-2917 Ph: (912) 527-1100 | Curtis V. Cooper Primary Health Care, Inc. 304 Stephenson Ave Savannah GA 31405-5929 Ph: (912) 527-1000 |
| NPI Number | 1154019248 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154019248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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