Healthcare Provider Details

I. General information

NPI: 1255175675
Provider Name (Legal Business Name): CAMDEN HEALTH AND WELLNESS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 S LEE ST
KINGSLAND GA
31548-5053
US

IV. Provider business mailing address

116 S LEE ST
KINGSLAND GA
31548-5053
US

V. Phone/Fax

Practice location:
  • Phone: 912-552-3731
  • Fax: 938-336-3446
Mailing address:
  • Phone: 912-552-3731
  • Fax: 938-336-3446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RACHEL DAWN BROWNING-COFIELD
Title or Position: OWNER
Credential: FNP
Phone: 938-336-3446