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200 Doctors Dr Suite L Douglas GA 31533-2201 | |
| (912) 383-6360 | |
| (912) 383-6380 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 200 Doctors Dr, Douglas, Georgia |
| Authorized Official Name and Position | Lavonda Cravey (VP OF CORPORATE REVENUE CYCLE) |
| Authorized Official Contact | 9123841900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1377 Douglas GA 31534-1377 Ph: (912) 384-1477 | 200 Doctors Dr Suite L Douglas GA 31533-2201 Ph: (912) 383-6360 |
| NPI Number | 1417388687 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417388687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 050023 (Georgia) | Primary |
Positive Alternatives Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 Ward St E, Douglas, GA 31533 Phone: 912-384-4357 Fax: 912-384-4356 | |
Faith Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 908 Sears St, Suite B, Douglas, GA 31533 Phone: 912-384-1085 | |
Compassionate Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 408 Shirley Ave, Douglas, GA 31533 Phone: 912-292-1177 Fax: 912-292-0241 |