Brunswick Addiction Associates, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

BRUNSWICK ADDICTION ASSOCIATES, LLC

Doing business as

Treatment Center of Brunswick

Practice address

100 Cornerstone Dr
Brunswick, GA 31523-4214

Phone

(229) 242-0953

NPI assigned

Nov 6, 2019

Last updated

Nov 6, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alan Cooper Folsom

Title

Member

Phone

(229) 242-0953

Specialties & licenses 1

Addresses

Other names 1

• Treatment Center of Brunswick Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1578107124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 N ASHLEY ST STE 114",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021788",
            "telephone_number": "229-242-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CORNERSTONE DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315234214",
            "telephone_number": "229-242-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK ADDICTION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "FOLSOM",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "COOPER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "229-242-0953"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Treatment Center of Brunswick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wilbur Brown, DC
• Harry Charles Broyles, D.C.
• Summer Bruce, RBT
• Katelyn Bruno, RBT
• Mardell Z Brunson
• Brunswick Dentisty LLC (Brunswick Smiles)
• Brunswick Endoscopy Center, LLC
• Brunswick Medical LLC
• Brunswick Medical Supply Inc
• Brunswick Orthotics & Prosthetics, Inc.

• Methadone Clinic in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Methadone Clinic in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.