| Csb Of Middle Georgia | |
|
2121a Bellevue Rd Dublin GA 31021-2998 | |
| (478) 272-1190 | |
| (478) 275-6649 |
| Full Name | Csb Of Middle Georgia |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2121a Bellevue Rd, Dublin, Georgia |
| Authorized Official Name and Position | Cynthia Reid (OPERATIONS ANALYST) |
| Authorized Official Contact | 4782721190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Csb Of Middle Georgia 2121a Bellevue Rd Dublin GA 31021-2998 Ph: (478) 272-1190 | Csb Of Middle Georgia 2121a Bellevue Rd Dublin GA 31021-2998 Ph: (478) 272-1190 |
| NPI Number | 1104255256 |
|---|---|
| Provider Enumeration Date | 11/08/2013 |
| Last Update Date | 11/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104255256 | NPI | - | NPPES |
| 300030912A | Medicaid | GA | |
| 1689657637 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 084851 (Georgia) | Primary |
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