Organization
CURTIS V. COOPER PRIMARY HEALTH CARE, INC
Active
Parent organization
CURTIS V. COOPER PRIMARY HEALTH CARE, INC
Other names
CVC Jackson Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
CURTIS V. COOPER PRIMARY HEALTH CARE, INC
Authorized official
ATHELSTANE SERAPHIN CFO (CFO)
(912) 527-1130
Entity
Organization
Contact information
Practice address
1501 ABERCORN ST, SAVANNAH, GA 31401-7315
(912) 527-1100
Mailing address
106 E BROAD ST, SAVANNAH, GA 31401-2917
(912) 527-1100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/17/2020
Last updated
11/27/2023
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