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330 N Broad St Ste G Thomasville GA 31792-5100 | |
| (229) 227-1117 | |
| (229) 227-1126 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 330 N Broad St Ste G, Thomasville, Georgia |
| Authorized Official Name and Position | Patrick Waters (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7062008677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1727 Wrightsboro Rd Suite B Augusta GA 30904-4049 Ph: (706) 736-8170 | 330 N Broad St Ste G Thomasville GA 31792-5100 Ph: (229) 227-1117 |
| NPI Number | 1477089282 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477089282 | NPI | - | NPPES |
| 000902063AY | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Georgia Pines Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 Cloverdale Drive, Thomasville, GA 31792 Phone: 229-233-8904 | |
Crossing Jordan Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Broad St Ste 302, Thomasville, GA 31792 Phone: 912-212-5803 Fax: 229-512-3767 | |
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