COGA HEALTH NPI 1376998096

NPI Information

  • NPI: 1376998096
  • Provider Name: COGA HEALTH
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Organization
  • Doing Business As: COASTAL GEORGIA CHILD NEUROLOGY
  • Address: 139 ALTAMA CONNECTOR
    PMB 316
    BRUNSWICK, GA
    ZIP 31525
  • Phone: (864) 884-1137

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NPI Details

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?

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This page was last updated on: 11/21/2025

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