| Chance | |
|
3540 Wheeler Rd Suite 515 Augusta GA 30909-1871 | |
| (770) 715-4728 | |
| Not Available |
| Full Name | Chance |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3540 Wheeler Rd, Augusta, Georgia |
| Authorized Official Name and Position | Toni Tennyson-smith (CEO) |
| Authorized Official Contact | 7707154728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chance 3540 Wheeler Rd Suite 515 Augusta GA 30909-1871 Ph: (770) 715-4728 | Chance 3540 Wheeler Rd Suite 515 Augusta GA 30909-1871 Ph: (770) 715-4728 |
| NPI Number | 1194115717 |
|---|---|
| Provider Enumeration Date | 02/03/2015 |
| Last Update Date | 08/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194115717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 13467643 (Georgia) | Primary |
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