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FIRST COAST ENT
NPI 1346427143
Specialist in Saint Marys, GA

Active since January 24, 2008
2040 DAN PROCTOR DR, SUITE 250, SAINT MARYS, GA 31558(912) 729-2794(912) 729-4469 Get Directions Write a Review

NPPES record last updated: January 24, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About First Coast Ent NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIRST COAST ENT (NPI 1346427143) is a healthcare organization registered as a specialist in Saint Marys, Georgia and active in the NPI registry since January 2008. The organization lists John Temple Fraker, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1346427143
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFIRST COAST ENT
Location Address2040 DAN PROCTOR DR, SUITE 250Saint Marys, GA 31558-3811
Mailing Address2040 Dan Proctor Dr, Suite 250Saint Marys, GA 31558-3811 · (912) 729-2794 · Fax (912) 729-4469
Phone(912) 729-2794
Fax(912) 729-4469
Organization SubpartNo
Authorized OfficialJohn Temple FrakerMd/owner · (912) 729-2794
Enumeration DateJanuary 24, 2008
✔ NPI 1346427143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 056552
Definition
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.
2040 DAN PROCTOR DR, Saint Marys, GA 31558
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Other Identifiers 1

Medicare PINGRP7383GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VICTORIA YALONDA WARNER-WHITE M.D.
Pediatrics
2040 DAN PROCTOR DR, SUITE #230
SAINT MARYS, GA 31558
Camden County (912) 576-6464
COOPERATIVE HEALTHCARE SERVICES INC
Nurse Practitioner (Family)
2040 DAN PROCTOR DR, SUITE 140
SAINT MARYS, GA 31558
Camden County (912) 679-8000
VICTORIA Y. WARNER-WHITE M.D.
Point of Service
2040 DAN PROCTOR DR, SUITE 230
SAINT MARYS, GA 31558
Camden County (912) 576-6464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is First Coast Ent's NPI number?

The NPI number for First Coast Ent is 1346427143. It was assigned to this organization in the NPPES registry on January 24, 2008.

Where is First Coast Ent located?

First Coast Ent is located at 2040 Dan Proctor Dr Suite 250, Saint Marys, GA 31558. The listed phone number is (912) 729-2794.

What is First Coast Ent's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for First Coast Ent was last updated on January 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.