Organization
BEACH MEDICAL LLC
Active
Organization
BEACH MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT GREICO M.D. (PROVIDER)
(912) 786-9986
Entity
Organization
Contact information
Practice address
602 FIRST ST, TYBEE ISLAND, GA 31328
(912) 786-9986
(912) 786-9987
Mailing address
PO BOX 1392, TYBEE ISLAND, GA 31328-1392
(912) 786-9986
(912) 786-9987
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
083786
GA
Other
Enumeration date
12/15/2006
Last updated
08/22/2020
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