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Organization
MHUMC, INC.
Active
Organization
MHUMC, INC.
Active
Other names
GULFSTREAM CHILDREN'S WELLNESS PROGRAM & CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SEBRENA C. HOLMES GIBSON (PROVIDER ENROLLMENT COORDINATOR)
(912) 350-9335
Entity
Organization
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-5697
(912) 350-6600
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-5697
(912) 350-6600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
NULL
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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