| Second Wind Ministries, Inc. | |
|
1044 Highway 54 West Fayetteville GA 30214-4515 | |
| (770) 716-6630 | |
| Not Available |
| Full Name | Second Wind Ministries, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1044 Highway 54 West, Fayetteville, Georgia |
| Authorized Official Name and Position | Timothy Lamar Gunter (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7707166630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Wind Ministries, Inc. 1044 Highway 54 W Fayetteville GA 30214-4515 Ph: (770) 716-6630 | Second Wind Ministries, Inc. 1044 Highway 54 West Fayetteville GA 30214-4515 Ph: (770) 716-6630 |
| NPI Number | 1336304781 |
|---|---|
| Provider Enumeration Date | 07/25/2008 |
| Last Update Date | 07/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336304781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 001491 (Georgia) | Primary |
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