Fayette Community Options | |
160 Carnegie Pl Fayetteville GA 30214-3905 | |
(770) 461-1351 | |
Not Available |
Full Name | Fayette Community Options |
---|---|
Speciality | Community/behavioral Health |
Location | 160 Carnegie Pl, Fayetteville, Georgia |
Authorized Official Name and Position | Mike Hubbard (CEO) |
Authorized Official Contact | 7703588251 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fayette Community Options 1435 N Expressway Suite 301 Griffin GA 30223-9016 Ph: (770) 358-8250 | Fayette Community Options 160 Carnegie Pl Fayetteville GA 30214-3905 Ph: (770) 461-1351 |
NPI Number | 1750569919 |
---|---|
Provider Enumeration Date | 02/08/2008 |
Last Update Date | 12/17/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750569919 | NPI | - | NPPES |
000603435J | Medicaid | GA | |
000603435K | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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