GOLDEN ISLES FOOT SURGERY CENTER NPI 1043225865

NPI Information

NPI: 1043225865
Provider Name: GOLDEN ISLES FOOT SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
10 PROFESSIONAL DR
BRUNSWICK, GA
ZIP 31520
Phone: (912) 264-6150
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GOLDEN ISLES FOOT SURGERY CENTER is an ambulatory surgical clinic center in Brunswick, GA. GOLDEN ISLES FOOT SURGERY CENTER NPI is 1043225865. The provider is registered as an organization entity type.

The provider's business location address is:

10 PROFESSIONAL DR
BRUNSWICK, GA
ZIP 31520-774
Phone: (912) 264-6150
Fax: (912) 264-5712

The provider's authorized official is Deborah Grolemund .
The authorized official title is Manager and has the following contact phone number (912) 264-6150.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 12/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	111206ASCA	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
2	P0022308	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	MEDICARE RR
3	00963597A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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