Amber Cruise | |
284 Worthington Gap Rd Rock Spring GA 30739-2278 | |
(706) 638-5580 | |
(706) 638-5445 |
Full Name | Amber Cruise |
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Speciality | Community/behavioral Health |
Location | 284 Worthington Gap Rd, Rock Spring, Georgia |
Authorized Official Name and Position | Tom Ford (CEO) |
Authorized Official Contact | 7066385584 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Amber Cruise Po Box 1027 La Fayette GA 30728-1027 Ph: (706) 638-5580 | Amber Cruise 284 Worthington Gap Rd Rock Spring GA 30739-2278 Ph: (706) 638-5580 |
NPI Number | 1780012880 |
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Provider Enumeration Date | 10/29/2013 |
Last Update Date | 10/29/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780012880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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