Georgia Psychiatric And Addiction Clinic P.c. | |
1211 Palmyra Rd Albany GA 31701-1935 | |
(229) 439-8686 | |
(229) 883-4484 |
Full Name | Georgia Psychiatric And Addiction Clinic P.c. |
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Speciality | Psychiatry & Neurology |
Location | 1211 Palmyra Rd, Albany, Georgia |
Authorized Official Name and Position | William Edwin Coleman (PSYCHIATRIST) |
Authorized Official Contact | 2294398686 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Georgia Psychiatric And Addiction Clinic P.c. 1211 Palmyra Rd Albany GA 31701-1935 Ph: (229) 439-8686 | Georgia Psychiatric And Addiction Clinic P.c. 1211 Palmyra Rd Albany GA 31701-1935 Ph: (229) 439-8686 |
NPI Number | 1356660898 |
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Provider Enumeration Date | 05/24/2010 |
Last Update Date | 05/24/2010 |
Medicare PECOS PAC ID | 9032435508 |
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Medicare Enrollment ID | O20150226001983 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356660898 | NPI | - | NPPES |
000463526L | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 031577 (Georgia) | Primary |
Provider Name | William E Coleman |
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Provider Type | Practitioner - Geriatric Psychiatry |
Provider Identifiers | NPI Number: 1134157381 PECOS PAC ID: 8820065360 Enrollment ID: I20040914000454 |
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