| Ikestines Family Solution | |
|
22 Calico Ln Fort Valley GA 31030-7202 | |
| (478) 457-6005 | |
| Not Available |
| Full Name | Ikestines Family Solution |
|---|---|
| Speciality | Counselor - Pastoral |
| Location | 22 Calico Ln, Fort Valley, Georgia |
| Authorized Official Name and Position | Isiahia Guyton (OWNER/OPERATOR) |
| Authorized Official Contact | 4784576005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ikestines Family Solution 22 Calico Ln Fort Valley GA 31030-7202 Ph: (478) 457-6005 | Ikestines Family Solution 22 Calico Ln Fort Valley GA 31030-7202 Ph: (478) 457-6005 |
| NPI Number | 1770124943 |
|---|---|
| Provider Enumeration Date | 09/30/2019 |
| Last Update Date | 09/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770124943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Primary |
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