Organization
SANDBAR HEALTH INC
Active
Other names
KidMed
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN THOMAS SANDIFER MD (CEO)
(912) 694-1094
Entity
Organization
Contact information
Practice address
617 PALISADE DR, BRUNSWICK, GA 31523-8211
(912) 694-1094
(912) 694-1095
Mailing address
617 PALISADE DR, BRUNSWICK, GA 31523-8211
(912) 694-1094
(912) 694-1095
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
10/16/2025
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