Organization
THE NEMOURS FOUNDATION
Active
Other names
Nemours Children's Clinic Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY MCKENDREE (CHIEF FINANCIAL OFFICER)
(904) 697-5628
Entity
Organization
Contact information
Practice address
3025 SHRINE RD STE 350, BRUNSWICK, GA 31520-4786
(912) 466-7230
(912) 466-7233
Mailing address
10140 CENTURION PKWY N, C/O MANAGED CARE DEPARTMENT, JACKSONVILLE, FL 32256-0532
(904) 697-5628
(904) 697-5629
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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