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512 Millard Fuller Blvd Americus GA 31709-3425 | |
| (229) 815-1169 | |
| (229) 816-6606 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 512 Millard Fuller Blvd, Americus, Georgia |
| Authorized Official Name and Position | Margaret Jordan (RCM MANAGER) |
| Authorized Official Contact | 2298155454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1348 Americus GA 31709-1348 Ph: (229) 815-5454 | 512 Millard Fuller Blvd Americus GA 31709-3425 Ph: (229) 815-1169 |
| NPI Number | 1679135453 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679135453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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