Autumn's Harbor, Llc | |
601 N Belair Sq Ste 2 Evans GA 30809-4322 | |
(706) 750-8329 | |
Not Available |
Full Name | Autumn's Harbor, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 601 N Belair Sq Ste 2, Evans, Georgia |
Authorized Official Name and Position | John Butler Martin (OWNER) |
Authorized Official Contact | 9125313404 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Autumn's Harbor, Llc 601 N Belair Sq Ste 2 Evans GA 30809-4322 Ph: (706) 750-8329 | Autumn's Harbor, Llc 601 N Belair Sq Ste 2 Evans GA 30809-4322 Ph: (706) 750-8329 |
NPI Number | 1972255404 |
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Provider Enumeration Date | 01/26/2022 |
Last Update Date | 09/19/2022 |
Certification Date | 09/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972255404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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