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General NPI Number Information
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NPI Number | 1912862301
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Entity Type | Organization
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Legal Business Name | GOLDEN ISLES COASTAL MEDICINE
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 5873 US HIGHWAY 17 STE A
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City | DARIEN
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State | GA
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Zip | 31305-4015
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Country | US
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Telephone | 912-266-6605
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 654
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City | DARIEN
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State | GA
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Zip | 31305-0654
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Country | US
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Telephone | 912-266-6605
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CYNDI B FAUDREE
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Credential |
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Telephone | 912-266-6605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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