Angela Dorsey | |
181 Happyville Ln Homerville GA 31634-2854 | |
(912) 487-3129 | |
(912) 449-7060 |
Full Name | Angela Dorsey |
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Speciality | Community/behavioral Health |
Location | 181 Happyville Ln, Homerville, Georgia |
Authorized Official Name and Position | Bobby Brown (CEO) |
Authorized Official Contact | 9124497111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Angela Dorsey 1007 Mary St Waycross GA 31503-3823 Ph: (912) 449-7111 | Angela Dorsey 181 Happyville Ln Homerville GA 31634-2854 Ph: (912) 487-3129 |
NPI Number | 1770855991 |
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Provider Enumeration Date | 02/03/2012 |
Last Update Date | 02/03/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770855991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Clinch C&a Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 551 Old Pearson Rd, Homerville, GA 31634 Phone: 912-449-7109 Fax: 912-449-7056 |