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COGA HEALTH NPI 1376998096


NPI Information

NPI: 1376998096
Provider Name: COGA HEALTH

Doing Business As: COASTAL GEORGIA CHILD NEUROLOGY

Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
139 ALTAMA CONNECTOR
PMB 316
BRUNSWICK, GA
ZIP 31525
Phone: (864) 884-1137
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COGA HEALTH is a neurology with special qualifications in child neurology psychiatry neurology in Brunswick, GA. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. COGA HEALTH NPI is 1376998096. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Coastal Georgia Child Neurology.

The provider's business location address is:

139 ALTAMA CONNECTOR
PMB 316
BRUNSWICK, GA
ZIP 31525-888
Phone: (864) 884-1137
Fax: (912) 330-1009

The provider's authorized official is Maynard Ashley Hutson .
The authorized official title is Owner/manager and has the following contact phone number (864) 884-1137.

The enumeration date for this NPI number is 5/2/2016 and was last updated on 5/2/2016.


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
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology75523GEORGIAYes

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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