SOUTH GEORGIA PSYCHOLOGICAL SERVICES PC (NPI# 1083914881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083914881 |
| Entity Type | Organization |
| Organization Name | SOUTH GEORGIA PSYCHOLOGICAL SERVICES PC |
| Practice Address |
104 Dunkirk Ln Brunswick GA 31523-6379 |
| Practice Telephone | 9125549989 |
| Practice Fax Number | 9125543399 |
| Mailing Telephone | 9125549989 |
| Mailing Fax Number | 9125543399 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |
| Authorized Official Name | DR. NANCY L OGLETREE (PSYCHOLOGIST) |
| Authorized Official Telephone | 9125549989 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY001903 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000528514A | 05 |
| Street Address |
104 DUNKIRK LN |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31523-6379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154813012 | Curtis Lee Crews Jr. | Case Manager/Care Coordinator | 38 Crabapple Ln, Brunswick, GA 31523 | 2018-06-05 |
| 1841267606 | Michael C Pinell | Emergency Medicine | 60 Cinema Lane, Suite 250, Saint Simons Island, GA 31523 | 2006-03-01 |
| 1902093057 | J.h. Harvey Co., LLC | Durable Medical Equipment & Medical Supplies | 284 Hyde Park Commons, Brunswick, GA 31523-0000 | 2007-10-02 |
| 1831121870 | Freds Stores of Tennessee Inc | Pharmacy | 5485 New Jesup Hwy, Brunswick, GA 31523-1119 | 2006-07-07 |
| 1780853176 | Courtney Alyn Jonda | Pharmacist | 5421 New Jesup Hwy, Brunswick, GA 31523-1119 | 2008-02-29 |
| 1407231699 | A Royal Fresh Start & Associates Inc. | Counselor | 5420 New Jesup Hwy # 187, Brunswick, GA 31523-1137 | 2015-07-29 |
| 1851494512 | Georgia Cvs Pharmacy LLC | Pharmacy | 5421 New Jesup Hwy, Brunswick, GA 31523-1137 | 2006-09-07 |
| 1669812574 | Paladin Sleep Services LLC | Clinic/Center | 167 Highland Park Cir, Brunswick, GA 31523-1161 | 2013-06-25 |
| 1356778211 | Ergent Med-1 LLC | Clinic/Center | 5248 New Jesup Hwy, Brunswick, GA 31523-1211 | 2013-10-08 |
| 1134690555 | Gabrel Matthew Crabb | Nurse Practitioner | 5248 New Jesup Hwy, Brunswick, GA 31523-1211 | 2018-12-10 |
| Find all providers in zip 31523 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952942559 | Andrea J Medaris | Psychologist | 153 Park Row Ste 302, Brunswick, ME 04011-2053 | 2019-10-04 |
| 1548770332 | Amanda Seirup | Psychologist | 16 Lincoln St Ste C, Brunswick, ME 04011-1900 | 2017-10-05 |
| 1346601218 | Susanna Preziosi | Psychologist | 14 Maine St Ste 309, Brunswick, ME 04011-2033 | 2016-03-18 |
| 1124296231 | Discovering Choices, Inc. | Psychologist | 51 Harpswell Rd, Suite 103, Brunswick, ME 04011-2549 | 2008-02-12 |
| 1629125273 | George Steffian | Psychologist | Fasotragrulant, Detachment Brunswick, 1801 Burbank Ave, Brunswick, ME 04011 | 2007-01-05 |
| 1760577092 | William R Johnson | Psychologist | 1421 Lee Street, Brunswick, GA 31520 | 2006-10-03 |
| 1316972797 | David C Bellows | Psychologist | 240 Maine St, Brunswick, ME 04011-3365 | 2006-07-12 |
| 1053391367 | Anita Laurette Goller | Psychologist | 6 Cumberland St, Brunswick, ME 04011-1904 | 2006-01-20 |
| 1790219921 | Michelle Kanga | Psychologist | 14 Maine St, Suite 309, Brunswick, ME 04011-2049 | 2017-04-14 |
| 1700320397 | Erin Sheets | Psychologist | 14 Maine St Ste 309, Brunswick, ME 04011-2052 | 2016-12-15 |
| Find all providers in BRUNSWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.