Georgia Pines Community Service Board | |
105 Bermuda St Thomasville GA 31792-4018 | |
(229) 233-8902 | |
Not Available |
Full Name | Georgia Pines Community Service Board |
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Speciality | Community/behavioral Health |
Location | 105 Bermuda St, Thomasville, Georgia |
Authorized Official Name and Position | Jonas Norman (CLERICAL SUPPORT) |
Authorized Official Contact | 2292255031 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Georgia Pines Community Service Board 1102 Smith Ave Ste K Thomasville GA 31792-5740 Ph: () - | Georgia Pines Community Service Board 105 Bermuda St Thomasville GA 31792-4018 Ph: (229) 233-8902 |
NPI Number | 1376042838 |
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Provider Enumeration Date | 02/09/2018 |
Last Update Date | 02/09/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376042838 | NPI | - | NPPES |
000754795H | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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