Organization
SURF AND SAND PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA BERRY (MANAGED CARE DIRECTOR)
(912) 445-4387
Entity
Organization
Contact information
Practice address
1111 GLYNCO PKWY STE 31, BRUNSWICK, GA 31525-7930
(912) 456-3605
(912) 456-3531
Mailing address
1111 GLYNCO PKWY STE 31, BRUNSWICK, GA 31525-7930
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
10/26/2022
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