| Mclaulin Practice Llc | |
|
283 Milton Ln Waverly GA 31565-1931 | |
| (215) 284-8434 | |
| Not Available |
| Full Name | Mclaulin Practice Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 283 Milton Ln, Waverly, Georgia |
| Authorized Official Name and Position | John Bryce Mclaulin (OWNER) |
| Authorized Official Contact | 2152848434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mclaulin Practice Llc 283 Milton Ln Waverly GA 31565-1931 Ph: (215) 284-8434 | Mclaulin Practice Llc 283 Milton Ln Waverly GA 31565-1931 Ph: (215) 284-8434 |
| NPI Number | 1366865719 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 01/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366865719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 022248 (Georgia) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 022248 (Georgia) | Secondary |