Organization
GLYNN COUNTY BOARD OF HEALTH
Active
Parent organization
GLYNN COUNTY BOARD OF HEALTH
Other names
Coastal Health District-Brunswick
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLYNN COUNTY BOARD OF HEALTH
Authorized official
STACY A. COOPER (DISTRICT BILLING DEPT. COORDINATOR)
(912) 262-2347
Entity
Organization
Contact information
Practice address
2747 4TH ST, BRUNSWICK, GA 31520-3714
(912) 264-3236
(912) 262-3051
Mailing address
150 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0540
(912) 262-2347
(912) 262-3036
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000456508P
—
GA
01
—
FLU143
MEDICARE NUMBER
GA
Enumeration date
06/30/2005
Last updated
01/06/2015
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