| Paul Anderson Family Strong Center, Inc. | |
|
104 E 2nd St Vidalia GA 30474-4709 | |
| (912) 537-7237 | |
| Not Available |
| Full Name | Paul Anderson Family Strong Center, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 104 E 2nd St, Vidalia, Georgia |
| Authorized Official Name and Position | Drew S. Read (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9125377237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Anderson Family Strong Center, Inc. Po Box 1126 Vidalia GA 30475-1126 Ph: (912) 537-7237 | Paul Anderson Family Strong Center, Inc. 104 E 2nd St Vidalia GA 30474-4709 Ph: (912) 537-7237 |
| NPI Number | 1326428467 |
|---|---|
| Provider Enumeration Date | 06/03/2015 |
| Last Update Date | 06/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326428467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC006920 (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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