| Georgia Pines Community Service Board | |
|
3619 Jackson Dairy Rd Baconton GA 31716-7408 | |
| (229) 225-4335 | |
| (229) 225-4374 |
| Full Name | Georgia Pines Community Service Board |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3619 Jackson Dairy Rd, Baconton, Georgia |
| Authorized Official Name and Position | Robert H Jones (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2292254373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Pines Community Service Board 1102 Smith Ave Thomasville GA 31792-5739 Ph: (229) 225-4335 | Georgia Pines Community Service Board 3619 Jackson Dairy Rd Baconton GA 31716-7408 Ph: (229) 225-4335 |
| NPI Number | 1235294463 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235294463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |