URGENT CARE OF COASTAL GEORGIA


Address: 214 A Professional Circle, St. Marys, GA 31558
Phone: 9125108224

URGENT CARE OF COASTAL GEORGIA (NPI# 1285149427) 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) 1285149427
Entity Type Organization
Organization Name URGENT CARE OF COASTAL GEORGIA
Practice Address 214 A Professional Circle
St. Marys
GA 31558
Mailing Address 214 Professional Cir Ste A
Saint Marys
GA 31558-3783
Practice Telephone 9125108224
Practice Fax Number 9125764791
Mailing Telephone 9125108224
Mailing Fax Number 9125764791
Enumeration Date 2017-12-11
Last Update Date 2017-12-11
Authorized Official Name JIMMY ARTURO MALAVER-REYES (OWNER/MEDICAL DIRECTOR)
Authorized Official Telephone 9125108224
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 065138 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 214 A PROFESSIONAL CIRCLE
City ST. MARYS
State GA
Zip Code 31558

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942827332 Primary Care of Coastal Georgia Clinic/Center 214a Professional Cir, St Marys, GA 31558 2020-07-01
1922659192 Christian Bianca Booker Social Worker 944 Kings Bay Rd. #247, St. Marys, GA 31558 2019-09-27
1154897296 Shonta Harper Counselor 708 Osborne St Ste 104, Saint Marys, GA 31558 2018-10-16
1174038095 Camden Behavioral Wellness, Inc Counselor 605 Osborne Street, Saint Mary's, GA 31558 2017-12-14
1679975783 Jeremy Cole Behavioral Analyst 921 Charlie Smith Sr. Highway, St. Marys, GA 31558 2014-09-19
1053660738 Janice Paulino Ramirez Nurse Practitioner 2040 Dan Proctor Drive, Suite 170, St Marys, GA 31558 2012-09-10
1174899454 Light Horse Healthcare Inc Voluntary or Charitable 2060 Dan Proctor Drive, Suite 3300, St Marys, GA 31558 2012-03-30
1316215775 Annette O. Perry Counselor 4019 Hwy 40 East, St. Marys, GA 31558 2011-12-13
1932486271 Sarah Jo Meyers Speech-Language Pathologist 2015 Osborne Rd, Unit A, St Marys, GA 31558 2011-11-15
1285937185 Cailen Emlee Wells Chiropractor 775 Kings Bay Rd, St. Marys, GA 31558 2010-12-15
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1053946004 Proactive Medical Center General Practice 3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096-6502 2020-03-10
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Competitor

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City ST. MARYS
Zip Code 31558

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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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