Organization
GOODWIN COMMUNITY HEALTH CENTER
Active
Organization
GOODWIN COMMUNITY HEALTH CENTER
Active
Other names
Coastal Medical Access Project
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA J KOTA RN, MSPL (CEO)
(912) 554-3559
Entity
Organization
Contact information
Practice address
3010 HAMPTON AVE, STE 6, BRUNSWICK, GA 31520-4224
(912) 466-8909
(912) 466-8995
Mailing address
104 LAKESHORE DR, STE E, SAINT MARYS, GA 31558-3803
(912) 554-3559
(912) 554-8344
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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