# OCEANHORSE HEALTH AND WELLNESS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033724323
- **Authorized official:** CATHY SLAY-CHIPP NURSE PRACTITIONER (PRACTICE MANAGER)
- **Authorized official phone:** (912) 230-1556

## Contact information

- **Practice address:** 4212 CORAL PARK DR OFC, BRUNSWICK, GA 31520-3016
- **Practice address phone:** (912) 275-8165
- **Practice address fax:** (912) 289-9450
- **Mailing address:** 4212 CORAL PARK DR, BRUNSWICK, GA 31520-3016
- **Mailing address phone:** (912) 275-8165
- **Mailing address fax:** (912) 289-9450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2020
- **Last updated:** 06/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003262258A | — | GA |