Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GATEWAY BEHAVIORAL HEALTH SERVICES
Active
Organization
GATEWAY BEHAVIORAL HEALTH SERVICES
Active
Other names
GATEWAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES EDWIN SMITH JR. R.PH. (PHARMACY MANAGER)
(912) 554-8469
Entity
Organization
Contact information
Practice address
600 COASTAL VILLAGE DRIVE, ROOM 107, BRUNSWICK, GA 31520
(912) 554-8467
(912) 280-1536
Mailing address
600 COASTAL VILLAGE DRIVE, ROOM 107, BRUNSWICK, GA 31520
(912) 554-8467
(912) 280-1536
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE004593
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00176756A
—
GA
Enumeration date
10/04/2006
Last updated
04/21/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up