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Organization
OCEANHORSE HEALTH AND WELLNESS CLINIC
Active
Organization
OCEANHORSE HEALTH AND WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY SLAY-CHIPP NURSE PRACTITIONER (PRACTICE MANAGER)
(912) 230-1556
Entity
Organization
Contact information
Practice address
4212 CORAL PARK DR OFC, BRUNSWICK, GA 31520-3016
(912) 275-8165
(912) 289-9450
Mailing address
4212 CORAL PARK DR, BRUNSWICK, GA 31520-3016
(912) 275-8165
(912) 289-9450
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003262258A
—
GA
Enumeration date
09/13/2020
Last updated
06/06/2024
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