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NPI Code Detail

MEDICARE: GLYNN COUNTY HEATLH DEPARTMENT

MEDICARE: GLYNN COUNTY HEATLH DEPARTMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare Agency

General Provider Information

NPI Number : 1255339529
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLYNN COUNTY HEATLH DEPARTMENT
Provider Business Mailing Address
First Line : 150 SCRANTON CONNECTOR
Second Line :
City : BRUNSWICK
State : GA
Zip : 31525-0540
Country : US
Telephone Number : 912-262-2300
Fax Number : 912-262-2315
Provider Business Practice Location Address
First Line : 150 SCRANTON CONNECTOR
Second Line :
City : BRUNSWICK
State : GA
Zip : 31525-0540
Country : US
Telephone Number : 912-262-3045
Fax Number : 912-262-3051
Authorized Official
Title or Position : DISTRICT ADMINISTRATOR
Name : MR. BRENT JORDAN
Credential :
Telephone Number : 912-262-3045
Provider Enumeration Date : 07/12/2005
Last Update Date : 08/22/2020

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Directions to “GLYNN COUNTY HEATLH DEPARTMENT ” Practice Location

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