First Coast Ent

NPI #1346427143 in Saint Marys, Georgia

Provider Information

NPI Number
1346427143
Entity Type
Organization
Organization Name
First Coast Ent
Primary Specialty
Specialist
Enumeration Date
Jan 24, 2008
Last Updated
Jan 24, 2008

Practice Location

Address
2040 DAN PROCTOR DR
Address 2
SUITE 250
State
Georgia
ZIP Code
31558-3811
Phone
(912) 729-2794

Authorized Official

Name
DR. JOHN TEMPLE FRAKER, MD
Title
MD/OWNER
Phone
(912) 729-2794

Specialties & Taxonomy Codes

Specialty
Specialist

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