| Evolving Notions | |
|
1628 Breeds Hill Loop Columbus GA 31907-6737 | |
| (706) 464-6805 | |
| Not Available |
| Full Name | Evolving Notions |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1628 Breeds Hill Loop, Columbus, Georgia |
| Authorized Official Name and Position | Manilyn Graham (OWNER) |
| Authorized Official Contact | 7064646805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolving Notions 1628 Breeds Hill Loop Columbus GA 31907-6737 Ph: (706) 464-6805 | Evolving Notions 1628 Breeds Hill Loop Columbus GA 31907-6737 Ph: (706) 464-6805 |
| NPI Number | 1184174302 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 10/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184174302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC008002 (Georgia) | Primary |
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