| Eclectics | |
|
3846 Trask Dr Columbus GA 31903-2937 | |
| (706) 566-3169 | |
| Not Available |
| Full Name | Eclectics |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3846 Trask Dr, Columbus, Georgia |
| Authorized Official Name and Position | Alfonza Allen King (CEO) |
| Authorized Official Contact | 7065663169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eclectics 3846 Trask Dr Columbus GA 31903-2937 Ph: (706) 566-3169 | Eclectics 3846 Trask Dr Columbus GA 31903-2937 Ph: (706) 566-3169 |
| NPI Number | 1225576796 |
|---|---|
| Provider Enumeration Date | 02/06/2017 |
| Last Update Date | 02/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225576796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC009399 (Georgia) | Primary |
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