| J Cargile Llc | |
|
3550 Clarkston Industrial Blvd Ste A Clarkston GA 30021-1331 | |
| (404) 626-8941 | |
| Not Available |
| Full Name | J Cargile Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3550 Clarkston Industrial Blvd Ste A, Clarkston, Georgia |
| Authorized Official Name and Position | John W Cargile (OWNER) |
| Authorized Official Contact | 4046268941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Cargile Llc 975 Rogers St Clarkston GA 30021-2241 Ph: (404) 626-8941 | J Cargile Llc 3550 Clarkston Industrial Blvd Ste A Clarkston GA 30021-1331 Ph: (404) 626-8941 |
| NPI Number | 1659997104 |
|---|---|
| Provider Enumeration Date | 06/21/2020 |
| Last Update Date | 06/21/2020 |
| Certification Date | 06/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659997104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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