First Coast Ent

LBN: First Coast Ent
First Coast Ent is an health care organization with primary practice located at 2040 Dan Proctor Dr Suite 250, Saint Marys GA 31558-3811. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. First Coast Ent can be contacted via phone (912) 729-2794, or through Fraker, John Temple via phone (912) 729-2794.

Contact Information

Primary practice address
2040 Dan Proctor Dr Suite 250 Saint Marys GA 31558-3811
Phone: (912) 729-2794
Fax: (912) 729-4469
Website:
Map and Directions
Authorized official contact:
Name: Fraker, John Temple Doctor of Medicine (MD)
Phone: (912) 729-2794

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 056552 Georgia

Profile Details

NPI number 1346427143
LBN Legal business name First Coast Ent
DBA Doing business as
Authorized official Fraker, John Temple Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2008
Last updated Jan 24th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers