# MHUMC, INC.

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** GULFSTREAM CHILDREN'S WELLNESS PROGRAM & CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235515438
- **Authorized official:** SEBRENA C. HOLMES GIBSON (PROVIDER ENROLLMENT COORDINATOR)
- **Authorized official phone:** (912) 350-9335

## Contact information

- **Practice address:** 4700 WATERS AVE, SAVANNAH, GA 31404-6220
- **Practice address phone:** (912) 350-5697
- **Practice address fax:** (912) 350-6600
- **Mailing address:** 4700 WATERS AVE, SAVANNAH, GA 31404-6220
- **Mailing address phone:** (912) 350-5697
- **Mailing address fax:** (912) 350-6600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2015
- **Last updated:** 08/11/2015