| Palmetto Campus | |
|
9250 Hutcheson Ferry Rd Palmetto GA 30268-2303 | |
| (770) 463-3344 | |
| (770) 463-8208 |
| Full Name | Palmetto Campus |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9250 Hutcheson Ferry Rd, Palmetto, Georgia |
| Authorized Official Name and Position | Kenny Thompson (VICE PRESIDENT) |
| Authorized Official Contact | 7704633800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Campus Po Box 329 Palmetto GA 30268-0329 Ph: (770) 463-3800 | Palmetto Campus 9250 Hutcheson Ferry Rd Palmetto GA 30268-2303 Ph: (770) 463-3344 |
| NPI Number | 1477752475 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 07/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477752475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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