| Curtis V. Cooper Primary Health Care, Inc | |
|
2121 E. Derenne Ave Savannah GA 31406 | |
| (912) 527-1000 | |
| (912) 527-1126 |
| Full Name | Curtis V. Cooper Primary Health Care, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2121 E. Derenne Ave, Savannah, Georgia |
| Authorized Official Name and Position | Albert B Grandy (CEO) |
| Authorized Official Contact | 9125271000 |
| 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) 527-1000 | Curtis V. Cooper Primary Health Care, Inc 2121 E. Derenne Ave Savannah GA 31406 Ph: (912) 527-1000 |
| NPI Number | 1235492398 |
|---|---|
| Provider Enumeration Date | 06/22/2012 |
| Last Update Date | 01/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235492398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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