| Healthcare Authority | |
|
141 Bridgemill Dr Hampton GA 30228-5536 | |
| (470) 485-8337 | |
| Not Available |
| Full Name | Healthcare Authority |
|---|---|
| Speciality | Counselor - Professional |
| Location | 141 Bridgemill Dr, Hampton, Georgia |
| Authorized Official Name and Position | Yaunte Dvine (PRACTICE DIRECTOR) |
| Authorized Official Contact | 4704854337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare Authority 922 Highway 81 E Ste 348 Mcdonough GA 30252-2978 Ph: (470) 485-4337 | Healthcare Authority 141 Bridgemill Dr Hampton GA 30228-5536 Ph: (470) 485-8337 |
| NPI Number | 1942886189 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 03/18/2021 |
| Certification Date | 03/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942886189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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