Mary Jean Cardin, M.D.
Individual provider Active NPI Pediatrics Physician · Saint Simons Island, GA
NPI 1235308750 · NPPES record last updated Feb 28, 2008
Key facts
- NPI
- 1235308750
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 010497 (GA)
- Practice address
- 157 Linkside Dr
Saint Simons Island, GA 31522-1154 - Phone
- (912) 634-8418
- Fax
- (912) 634-0749
- NPI assigned
- Feb 28, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010497 | GA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | 010497 | GA | |
| Pediatrics Physician | 208000000X | 010497 | GA | Yes |
Addresses
Primary practice location
157 Linkside Dr
Saint Simons Island, GA 31522-1154
Mailing address
157 Linkside Dr
Saint Simons Island, GA 31522-1154
Phone (912) 634-8418
Other providers in Saint Simons Island, GA
- By the Sea Physician Practice LLC
- Anna Marie Cabeca
- Ashley Neal Callicutt
- Sage LM Campione
- Jeffrey Oliver Capes
- Carlyle Chiropractic Clinic P.C.
- Phillip E Carlyle
- Amber Carter
- Margaret Furey Carter
- Monica Sutton Carter
All providers in Saint Simons Island, GA · Pediatrics Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.