CAMDEN COUNTY COMMISSIONER OF NPI 1831598135

NPI Information

  • NPI: 1831598135
  • Provider Name: CAMDEN COUNTY COMMISSIONER OF
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Other Name: LIVING WELL ONSITE WELLNESS CLINIC
  • CLIA Number: 11D2096722
  • Address: 701 CHARLES GILMAN JR AVE
    SUITE B
    KINGSLAND, GA
    ZIP 31548
  • Phone: (912) 729-8942

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NPI Details

CAMDEN COUNTY COMMISSIONER OF is a clinic center in Kingsland, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CAMDEN COUNTY COMMISSIONER OF NPI is 1831598135. The provider is registered as an organization entity type.
The provider Other Name Is Living Well Onsite Wellness Clinic.

The provider's business location address is:

701 CHARLES GILMAN JR AVE
SUITE B
KINGSLAND, GA
ZIP 31548-661
Phone: (912) 729-8942
Fax: (912) 729-1059

The provider's authorized official is Cynthia R Popa .
The authorized official title is Clinic Director and has the following contact phone number (912) 729-8942.

The CLIA number assigned to this NPI record is 11D2096722 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2014 and was last updated on 10/5/2023.

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
1261Q00000XClinic/CenterYes

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: 11/21/2025

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