| North Jefferson St Annex | |
|
600 N Jefferson St Dublin GA 31021-6302 | |
| (478) 275-6800 | |
| Not Available |
| Full Name | North Jefferson St Annex |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 N Jefferson St, Dublin, Georgia |
| Authorized Official Name and Position | Robert Keith Moran (CFO) |
| Authorized Official Contact | 4782721190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Jefferson St Annex 2121a Bellevue Rd Dublin GA 31021-2998 Ph: () - | North Jefferson St Annex 600 N Jefferson St Dublin GA 31021-6302 Ph: (478) 275-6800 |
| NPI Number | 1073647905 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073647905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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