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Organization

BRYAN COUNTY HEALTH DEPARTMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STACY A COOPER (DISTRICT BILLING DEPT COORDINATOR)
(912) 262-2347
Entity
Organization

Contact information

Practice address
66 CPT MATTHEW FREEMAN DR, RICHMOND HILL, GA 31324-6223
(912) 756-2611
(912) 756-4828
Mailing address
150 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0540
(912) 262-2347
(912) 262-3036

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000051818N
GA
05
000456508B
GA
05
000457938H
GA
05
000551922B
GA
01
FLU140
MEDICARE NUMBER
GA
Enumeration date
10/16/2006
Last updated
01/06/2015
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