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1221 E Mcpherson Ave Nashville GA 31639-2326 | |
| (229) 543-7100 | |
| (229) 543-1724 |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1221 E Mcpherson Ave, Nashville, Georgia |
| Authorized Official Name and Position | Julie Hodges (CONTROLLER) |
| Authorized Official Contact | 2292594140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 9 Valdosta GA 31603-0009 Ph: (229) 433-8600 | 1221 E Mcpherson Ave Nashville GA 31639-2326 Ph: (229) 543-7100 |
| NPI Number | 1174864417 |
|---|---|
| Provider Enumeration Date | 03/12/2013 |
| Last Update Date | 08/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174864417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 010691 (Georgia) | Primary |
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