Provider Demographics
NPI:1962442665
Name:CAMCOAST SERVICES INC
Entity Type:Organization
Organization Name:CAMCOAST SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CYPHERS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN BC FNP
Authorized Official - Phone:912-576-2815
Mailing Address - Street 1:206 WEST BRYANT ST
Mailing Address - Street 2:
Mailing Address - City:ST MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558
Mailing Address - Country:US
Mailing Address - Phone:912-576-2815
Mailing Address - Fax:912-729-4117
Practice Address - Street 1:130 NORTH GROSS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:KINGSLAND
Practice Address - State:GA
Practice Address - Zip Code:31548
Practice Address - Country:US
Practice Address - Phone:912-729-2795
Practice Address - Fax:912-729-4117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty