| Johagston | |
|
6409 Abercorn St Suite B-2 Savannah GA 31405-5715 | |
| (912) 356-1095 | |
| Not Available |
| Full Name | Johagston |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6409 Abercorn St, Savannah, Georgia |
| Authorized Official Name and Position | Katherine Anne Keister (CLINICAL STAFF MANAGER) |
| Authorized Official Contact | 9123561095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johagston 6409 Abercorn St Suite B-2 Savannah GA 31405-5715 Ph: (912) 356-1095 | Johagston 6409 Abercorn St Suite B-2 Savannah GA 31405-5715 Ph: (912) 356-1095 |
| NPI Number | 1700058682 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 06/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700058682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC005603 (Georgia) | Primary |
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