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1536 Austin Little Mountain Rd Ronda NC 28670-8901 | |
(404) 364-2900 | |
(404) 364-2901 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1536 Austin Little Mountain Rd, Ronda, North Carolina |
Authorized Official Name and Position | Karen Lyn Orsini (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 4043642900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3060 Peachtree Rd Nw Suite 900 Atlanta GA 30305-2236 Ph: (404) 364-2900 | 1536 Austin Little Mountain Rd Ronda NC 28670-8901 Ph: (404) 364-2900 |
NPI Number | 1861813974 |
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Provider Enumeration Date | 12/17/2013 |
Last Update Date | 12/17/2013 |
Identifier | Type | State | Issuer |
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1861813974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |