Organization
GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY
Active
Organization
GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY
Active
Other names
Southeast Georgia Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DAVID SCHERNECK CPA (EXECUTIVE VICE PRESIDENT & CFO)
(912) 466-7049
Entity
Organization
Contact information
Practice address
2415 PARKWOOD DR, BRUNSWICK, GA 31520-4722
(912) 466-7000
(912) 466-7026
Mailing address
2415 PARKWOOD DR, BRUNSWICK, GA 31520-4722
(912) 466-7000
(912) 466-7026
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
063-064
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000822A
—
GA
01
—
51000165
BLUE CROSS BLUE SHIELD
GA
Enumeration date
07/25/2006
Last updated
04/20/2008
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