| Garden Gate | |
|
852 Tiffany Ln Waycross GA 31503-0155 | |
| (912) 449-7861 | |
| (912) 449-7060 |
| Full Name | Garden Gate |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 852 Tiffany Ln, Waycross, Georgia |
| Authorized Official Name and Position | Allen Brown (CEO) |
| Authorized Official Contact | 9124497103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden Gate 1007 Mary St Waycross GA 31503-3823 Ph: (912) 449-7111 | Garden Gate 852 Tiffany Ln Waycross GA 31503-0155 Ph: (912) 449-7861 |
| NPI Number | 1841626140 |
|---|---|
| Provider Enumeration Date | 09/18/2013 |
| Last Update Date | 09/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841626140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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