Organization
GLYNN COUNTY GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA RENEE SHORB (ADMINISTRATIVE SUPERVISOR)
(912) 554-7779
Entity
Organization
Contact information
Practice address
121 PUBLIC SAFETY BLVD, BRUNSWICK, GA 31525-8906
(912) 554-7779
(912) 297-3695
Mailing address
PO BOX 429, LEWISVILLE, NC 27023-0429
(877) 200-1191
(336) 740-9793
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
063-01
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000002703A
—
GA
01
—
590003739
MEDICARE RAILROAD
GA
Enumeration date
10/27/2005
Last updated
04/28/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up