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1590 Adamson Pkwy Ste 110 Morrow GA 30260-1763 | |
| (470) 418-0349 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 1590 Adamson Pkwy Ste 110, Morrow, Georgia |
| Authorized Official Name and Position | Tonia L Nixon (OWNER) |
| Authorized Official Contact | 7708961970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
4260 Old House Ln Conley GA 30288-1748 Ph: (770) 896-1970 | 1590 Adamson Pkwy Ste 110 Morrow GA 30260-1763 Ph: (470) 418-0349 |
| NPI Number | 1518637297 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 01/06/2024 |
| Certification Date | 01/06/2024 |
| Medicare PECOS PAC ID | 3577961564 |
|---|---|
| Medicare Enrollment ID | O20211005002881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518637297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tonia L Washington Hoskins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811514151 PECOS PAC ID: 1254736176 Enrollment ID: I20211007000180 |
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