| Coneblaa Family Foundation Corp | |
|
1950 Pine Hill Dr Macon GA 31217-4434 | |
| (478) 254-2878 | |
| Not Available |
| Full Name | Coneblaa Family Foundation Corp |
|---|---|
| Speciality | Counselor - Pastoral |
| Location | 1950 Pine Hill Dr, Macon, Georgia |
| Authorized Official Name and Position | Loretta Gordon (DIRECTOR) |
| Authorized Official Contact | 4782542878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coneblaa Family Foundation Corp 1950 Pine Hill Dr Macon GA 31217-4434 Ph: (478) 254-2878 | Coneblaa Family Foundation Corp 1950 Pine Hill Dr Macon GA 31217-4434 Ph: (478) 254-2878 |
| NPI Number | 1194026807 |
|---|---|
| Provider Enumeration Date | 11/11/2010 |
| Last Update Date | 11/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194026807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Primary |
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