MODERN MEDICAL MASSAGE, LLC (NPI# 1952623704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952623704 |
| Entity Type | Organization |
| Organization Name | MODERN MEDICAL MASSAGE, LLC |
| Practice Address |
664 Scranton Rd Brunswick GA 31520-1945 |
| Mailing Address |
211 Wellington Pl Brunswick GA 31523-7067 |
| Practice Telephone | 9125773991 |
| Mailing Telephone | 9125773991 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |
| Authorized Official Name | AIMEE S JONGEJAN (BUSINESS MANAGER) |
| Authorized Official Telephone | 9125773991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MT002240 | GA | Other Service Providers |
| Street Address |
664 SCRANTON RD |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457305567 | In Home Health LLC | Hospice Care, Community Based | 664 Scranton Rd, Suite 103, Brunswick, GA 31520-1946 | 2006-05-22 |
| 1942665393 | Dr Jen Rocks, LLC | Chiropractor | 664 Scranton Rd, Suite 101, Brunswick, GA 31520-1945 | 2015-12-29 |
| 1265746051 | Deshaw Family Chiropractic LLC | Chiropractor | 664 Scranton Rd, Suite 222, Brunswick, GA 31520-1945 | 2010-08-04 |
| 1346571148 | Dr. Jen Rocks, LLC | Chiropractor | 664 Scranton Rd, Suite 101, Brunswick, GA 31520 | 2010-01-19 |
| 1922264464 | Brent J Deshaw | Chiropractor | 664 Scranton Rd, Suite 222, Brunswick, GA 31520-1945 | 2008-08-04 |
| 1275707804 | Anthony G. Jongejan | Massage Therapist | 664 Scranton Rd, Ste 101, Brunswick, GA 31520-1945 | 2008-04-15 |
| 1124206354 | Lonnie G. Katro D.c.,p.c. Dba Brunswick Chiropractic and Massage | Chiropractor | 664 Scranton Rd, Suite 101, Brunswick, GA 31520-1945 | 2008-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952741720 | Parkwood Medical Center | Specialist | 2400 Parkwood Dr Ste B, Brunswick, GA 31520-4768 | 2013-06-26 |
| 1285916437 | Meagan Elise Mckinnon | Specialist | Southeast Georgia Health System, 2415 Parkwood Drive, Brunswick, GA 31520 | 2011-09-14 |
| 1013228063 | Joe D Boles Jr. | Specialist | 3864 Center Rd Ste A2, Brunswick, OH 44212-6600 | 2010-06-24 |
| 1346427879 | Philip R. Saleeby, M.d., P.C. | Specialist | 3212 Shrine Rd, Brunswick, GA 31520-4325 | 2008-01-28 |
| 1447461488 | Southeastern Ob-gyn, P.C. | Specialist | 2801 Parkwood Dr, Brunswick, GA 31520-4730 | 2007-05-24 |
| 1811100688 | Eric Andreae | Specialist | 3010 Hampton Ave, Suite 6, Brunswick, GA 31520-4224 | 2007-05-08 |
| 1043339997 | Romy Victoria Spitz | Specialist | 20 Wheeler Park, Brunswick, ME 04011-1662 | 2007-03-29 |
| 1710016506 | Donald Eugene Turner Jr. | Specialist | 4216 Coral Park Dr, Sutie 103, Brunswick, GA 31520-3016 | 2007-03-05 |
| 1295881043 | Melissa Ann Higgins | Specialist | 3643 Center Rd, Brunswick, OH 44212-3619 | 2007-01-26 |
| 1104938703 | Golden Isles Pediatrics Inc | Specialist | 1919 Glynn Ave, Suite 60, Brunswick, GA 31520-6176 | 2006-08-31 |
| Find all providers in BRUNSWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.