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GOLDEN ISLES NEUROLOGY PC NPI 1164589065


NPI Information

NPI: 1164589065
Provider Name: GOLDEN ISLES NEUROLOGY, PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3226-C HAMPTON AVENUE
BRUNSWICK, GA
ZIP 31520
Phone: (912) 261-0044
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GOLDEN ISLES NEUROLOGY, PC is a specialist in Brunswick, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GOLDEN ISLES NEUROLOGY, PC NPI is 1164589065. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3226-C HAMPTON AVENUE
BRUNSWICK, GA
ZIP 31520-254
Phone: (912) 261-0044
Fax: (912) 261-0226

The provider's authorized official is Enrique J Fernandez .
The authorized official title is President and has the following contact phone number (912) 261-0044.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 4/22/2011.


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
1174400000XSpecialist036152GEORGIANo
2174400000XSpecialist#036152GEORGIAYes

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
1F44323MEDICARE UPIN
2000518647JMEDICAIDGEORGIA
3GRP6883MEDICARE PINGEORGIA
4#000518647JMEDICAIDGEORGIA
5#GRP6883MEDICARE PIN
6DC3356OTHERGEORGIARAILROAD MEDICARE

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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