| Expand Health, Llc | |
|
3441 Cypress Mill Rd Ste 101 Brunswick GA 31520-2879 | |
| (912) 419-5148 | |
| Not Available |
| Full Name | Expand Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3441 Cypress Mill Rd Ste 101, Brunswick, Georgia |
| Authorized Official Name and Position | Tyler Cole (OWNDER/PROVIDER) |
| Authorized Official Contact | 9124563502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Expand Health, Llc 3441 Cypress Mill Rd Ste 101 Brunswick GA 31520-2879 Ph: (912) 456-3502 | Expand Health, Llc 3441 Cypress Mill Rd Ste 101 Brunswick GA 31520-2879 Ph: (912) 419-5148 |
| NPI Number | 1205556594 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 10/26/2022 |
| Medicare PECOS PAC ID | 7012393531 |
|---|---|
| Medicare Enrollment ID | O20221005003740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205556594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Tyler Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982086369 PECOS PAC ID: 8921317272 Enrollment ID: I20221005003762 |
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