| Highland Rivers Bartow Office | |
|
650 Joe Frank Harris Pkwy S.e. Cartersville GA 30120-3962 | |
| (770) 387-3538 | |
| (770) 607-6704 |
| Full Name | Highland Rivers Bartow Office |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 650 Joe Frank Harris Pkwy S.e., Cartersville, Georgia |
| Authorized Official Name and Position | Melanie Dallas (CEO) |
| Authorized Official Contact | 7062705000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Rivers Bartow Office 1503 N Tibbs Rd Dalton GA 30720-2915 Ph: (706) 270-5033 | Highland Rivers Bartow Office 650 Joe Frank Harris Pkwy S.e. Cartersville GA 30120-3962 Ph: (770) 387-3538 |
| NPI Number | 1740343300 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740343300 | NPI | - | NPPES |
| 1447256243 | Other | GA | ORGANIZATION MASTER NPI |
| 000759448U | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Georgia) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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