| Alice Deal Llc | |
|
1 Huntington Rd 703 Athens GA 30606-7204 | |
| (706) 425-8900 | |
| (706) 425-8600 |
| Full Name | Alice Deal Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1 Huntington Rd, Athens, Georgia |
| Authorized Official Name and Position | Alice M Deal (OWNER) |
| Authorized Official Contact | 7064258900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alice Deal Llc 1 Huntington Rd 703 Athens GA 30606-7204 Ph: (706) 425-8900 | Alice Deal Llc 1 Huntington Rd 703 Athens GA 30606-7204 Ph: (706) 425-8900 |
| NPI Number | 1336582055 |
|---|---|
| Provider Enumeration Date | 04/11/2013 |
| Last Update Date | 04/11/2013 |
| Medicare PECOS PAC ID | 0749420347 |
|---|---|
| Medicare Enrollment ID | O20130702000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336582055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW004284 (Georgia) | Primary |
| Provider Name | Alice M Deal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740485093 PECOS PAC ID: 0547454084 Enrollment ID: I20101028001497 |
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