| Peach Center | |
|
118 W Church St Fort Valley GA 31030-3700 | |
| (478) 827-3224 | |
| Not Available |
| Full Name | Peach Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 118 W Church St, Fort Valley, Georgia |
| Authorized Official Name and Position | Gwendolyn Coley (DIRECTOR) |
| Authorized Official Contact | 4788273224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peach Center 118 W Church St Fort Valley GA 31030-3700 Ph: (478) 827-3224 | Peach Center 118 W Church St Fort Valley GA 31030-3700 Ph: (478) 827-3224 |
| NPI Number | 1861086506 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 03/29/2021 |
| Certification Date | 03/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861086506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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