Organization · Type 2 NPI

Cooperative Healthcare Services Inc

Family Nurse Practitioner · St. Marys, GA

NPI number 1659709152 Active

Practice location

2040 Dan Proctor Dr, Suite 140
St. Marys, GA 31558-3811

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	RN191658 (GA)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

Other family nurse practitioner providers in St. Marys

Stone Harbor Medical Management LLCFamily Nurse Practitioner St. Marys, GA NPI 1497661177

See all in St. Marys →

NPI record

NPI: 1659709152
Entity type: Organization (Type 2)
Issued: Oct 17, 2013
Last updated: Oct 17, 2013
Status: Active
Subpart: Yes of Cooperative Healthcare Services Inc

Other names

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Southeast Georgia Physicians Associates Camden Pediatrics · doing business as

Authorized official

Mrs. Judy Marshall
Manager, Physician Practices
(912) 466-5520

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659709152

Cooperative Healthcare Services Inc's National Provider Identifier is 1659709152, issued on Oct 17, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Marys, GA. The record was last updated on Oct 17, 2013.