MEDICARE: FOCUS HEALTHCARE OF GEORGIA

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
1	283Q00000X	Psychiatric Hospital	063-591	GA

General Provider Information

NPI Number	:	1669453783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUS HEALTHCARE OF GEORGIA

Provider Business Mailing Address
First Line	:	2927 DEMERE RD
Second Line	:
City	:	SAINT SIMONS ISLAND
State	:	GA
Zip	:	31522-1620
Country	:	US
Telephone Number	:	912-638-1999
Fax Number	:

Provider Business Practice Location Address
First Line	:	2927 DEMERE RD
Second Line	:
City	:	SAINT SIMONS ISLAND
State	:	GA
Zip	:	31522-1620
Country	:	US
Telephone Number	:	912-638-1999
Fax Number	:

Authorized Official
Title or Position	:	DIR BUSINESS DEVELOPMENT
Name	:	LISA P TORRAS
Credential	:
Telephone Number	:	912-638-1999

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	08/22/2020

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1770612335 — DR. BRADLEY CLEVELAND TYRE PHARM D.
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Directions to “FOCUS HEALTHCARE OF GEORGIA ” Practice Location

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