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509 Sumter St Montezuma GA 31063-1733 | |
| (478) 472-3100 | |
| (478) 472-3248 |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 509 Sumter St, Montezuma, Georgia |
| Authorized Official Name and Position | John Hopfensperger (PRESIDENT) |
| Authorized Official Contact | 9206216140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 538579 Atlanta GA 30353-8579 Ph: (478) 472-3100 | 509 Sumter St Montezuma GA 31063-1733 Ph: (478) 472-3100 |
| NPI Number | 1740619857 |
|---|---|
| Provider Enumeration Date | 11/08/2013 |
| Last Update Date | 08/05/2015 |
| Medicare PECOS PAC ID | 9830327972 |
|---|---|
| Medicare Enrollment ID | O20140424000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740619857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
Therapy On The Go Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Travelers Rest Rd, Montezuma, GA 31063 Phone: 478-244-0926 Fax: 478-472-1207 |