DR. GEORGE MICHAEL WOMMACK (NPI# 1437364338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437364338 |
| Entity Type | Individual |
| Full Name | DR. GEORGE MICHAEL WOMMACK |
| Credential | D.M.D. |
| Practice Address |
2900 Glynn Ave Brunswick GA 31520-4844 |
| Practice Telephone | 9123427049 |
| Practice Fax Number | 9123427942 |
| Mailing Telephone | 9123427049 |
| Mailing Fax Number | 9123427942 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2011-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN012803 | GA | Dental Providers |
| Street Address |
2900 GLYNN AVE |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760775043 | G. Michael Wommack, Dmd, PC | Dentist | 2900 Glynn Ave, Brunswick, GA 31520-4844 | 2011-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386204568 | Keni Leonce | Dentist | 11455 Canal Xing, Brunswick, GA 31525-6747 | 2019-06-19 |
| 1497260145 | Brunswick Dentisty LLC | Dentist | 4741 Altama Ave, Brunswick, GA 31520-2910 | 2017-12-04 |
| 1124576954 | Georgia Dental Professionals, PC | Dentist | 165 Juniper Cir, Brunswick, GA 31520-1953 | 2016-09-21 |
| 1336430123 | Mary Anne Mackey | Dentist | 64 Pleasant St, Brunswick, ME 04011-2203 | 2011-04-27 |
| 1275703522 | Joe C. Massey | Dentist | 1108 1st St, Brunswick, GA 31520-4512 | 2008-03-03 |
| 1518162197 | Peter M Mazzeo | Dentist | 1026 Pearl Road, Suites 1 & 2, Brunswick, OH 44212 | 2007-06-15 |
| 1538374822 | Darryl Dale Daniel I | Dentist | 11 Professional Dr, Brunswick, GA 31520-3773 | 2007-05-11 |
| 1750501227 | Brian P. Kudla | Dentist | 2111 Pearl Rd, Brunswick, OH 44212-3245 | 2007-04-26 |
| 1649393851 | Robert William Mandel | Dentist | 3864 Center Rd, Brunswick, OH 44212 | 2007-04-10 |
| 1184746307 | Kevin Clark Smith | Dentist | 610 Ninth Ave, Brunswick, MD 21716-1828 | 2007-04-06 |
| 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.