MR. GEORGE GLEASON SWEENEY III


Address: 143 Laurel Marsh Way, Kingsland, GA 31548-6192
Phone: 9125738759

MR. GEORGE GLEASON SWEENEY III (NPI# 1194904847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194904847
Entity Type Individual
Full Name MR. GEORGE GLEASON SWEENEY III
Credential IDC
Practice Address 143 Laurel Marsh Way
Kingsland
GA 31548-6192
Practice Telephone 9125738759
Mailing Telephone 9125738759
Enumeration Date 2007-10-30
Last Update Date 2007-10-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address 143 LAUREL MARSH WAY
City KINGSLAND
State GA
Zip Code 31548-6192

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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033639752 Ryan Charles Romer Military Health Care Provider 814 Radford Blvd Ste 20328, Albany, GA 31704-1130 2017-06-23
1295105773 Christopher Lamar Davis Military Health Care Provider 3665 Cherry Ridge Blvd, Decatur, GA 30034-5011 2015-09-28
1124425376 Cody Williams Military Health Care Provider 2198 Old Groveland Rd, Pembroke, GA 31321-3322 2014-12-03
1851625370 Holistic Approach Wellness Center Military Health Care Provider 5744 Austell Powder Springs Rd, Austell, GA 30106-3231 2009-09-30
1275717092 Michael Arnez Leggett Military Health Care Provider 1063 Uss Georgia Ave, Commander Submarine Group Ten, Kings Bay, GA 31558-2626 2007-12-28
1023291788 Jay D Carson Military Health Care Provider 1050 Uss Gerogia Ave, Kings Bay, GA 31547 2007-12-17
1508045550 Hubert Williams Military Health Care Provider 814 Radford Blvd Bldg 7000, Albany, GA 31704-9998 2007-10-26
1568651321 Westley Michael Durnell Military Health Care Provider 580 Uss Mariano G. Vallejo Ave, Nssc Medical, Kings Bay, GA 31547 2007-10-17
1013127497 Cory Dean Sant Military Health Care Provider Uss Rhode Island Ssbn 740 (blue), 1059 Uss Georgia Ave, Kings Bay, GA 31547 2007-05-23
1225156441 David Michael Holt Military Health Care Provider 341 Creekside Dr, Saint Marys, GA 31558-4485 2007-03-26
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Competitor

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City KINGSLAND
Zip Code 31548

Improve Information

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Dataset Information

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.

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