Provider Demographics
NPI:1326162827
Name:GOLDEN ISLES PSYCHIATRIC ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:GOLDEN ISLES PSYCHIATRIC ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNSUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-261-9229
Mailing Address - Street 1:1421 LEE ST
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-7132
Mailing Address - Country:US
Mailing Address - Phone:912-261-9229
Mailing Address - Fax:912-261-1828
Practice Address - Street 1:1421 LEE ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-7132
Practice Address - Country:US
Practice Address - Phone:912-261-9229
Practice Address - Fax:912-261-1828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP3316Medicare ID - Type UnspecifiedGROUP MEDICARE #