| Building # 7 | |
|
2121a Bellevue Rd Bldg 7 Dublin GA 31021-2998 | |
| (478) 272-1190 | |
| Not Available |
| Full Name | Building # 7 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2121a Bellevue Rd Bldg 7, Dublin, Georgia |
| Authorized Official Name and Position | Robert Keith Moran (CFO) |
| Authorized Official Contact | 4782721190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Building # 7 2121a Bellevue Rd Bldg 7 Dublin GA 31021-2998 Ph: () - | Building # 7 2121a Bellevue Rd Bldg 7 Dublin GA 31021-2998 Ph: (478) 272-1190 |
| NPI Number | 1578696928 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578696928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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