Branch Medical Clinic Kings Bay

NPI #1114432085 in Kings Bay, Georgia

Provider Information

NPI Number: 1114432085
Entity Type: Organization
Organization Name: Branch Medical Clinic Kings Bay
Subpart: Yes (part of a larger organization)
Parent Organization: NAVAL HOSPITAL JACKSONVILLE
Primary Specialty: Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date: Dec 13, 2017
Last Updated: Dec 13, 2017

Practice Location

Address: 881 USS JAMES MADISON RD
City: Kings Bay
State: Georgia
ZIP Code: 31547-2531
Phone: (912) 573-6398

Authorized Official

Name: WILLIAM M CONDON
Title: BUMED UBO
Phone: (240) 401-3643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient	261QM1100X	Primary

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