| Leslie Holliday Ring, Llc | |
|
337 S Milledge Ave Ste 210 Athens GA 30605-5664 | |
| (706) 254-0547 | |
| (706) 621-7997 |
| Full Name | Leslie Holliday Ring, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 337 S Milledge Ave Ste 210, Athens, Georgia |
| Authorized Official Name and Position | Leslie Holliday Ring (OWNER) |
| Authorized Official Contact | 7062540547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Holliday Ring, Llc 337 S Milledge Ave Ste 210 Athens GA 30605-5664 Ph: (706) 254-0547 | Leslie Holliday Ring, Llc 337 S Milledge Ave Ste 210 Athens GA 30605-5664 Ph: (706) 254-0547 |
| NPI Number | 1356840250 |
|---|---|
| Provider Enumeration Date | 02/06/2018 |
| Last Update Date | 11/20/2018 |
| Medicare PECOS PAC ID | 5597010173 |
|---|---|
| Medicare Enrollment ID | O20180622000863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356840250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | CSW004548 (Georgia) | Primary |
| Provider Name | Leslie H Ring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851841233 PECOS PAC ID: 2769760404 Enrollment ID: I20161031001607 |
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