Unknown Individual – Adult Medicine Physician, NPI 1396736625
Adult Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1201 FOUNTAIN PARK CIR
BRUNSWICK, GA 315204859
Phone: (912) 275-7346
Fax: (912) 275-8374
Type: Mailing
1201 Fountain Park Cir
Brunswick, GA 315204859
Phone: (912) 275-7346
Fax: (912) 275-8374
Type: Location
17 PROFESSIONAL DR STE 100
BRUNSWICK, GA 315203784
Phone: (912) 275-7346
Fax: (912) 275-8374
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31520)
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